Individual provider · Type 1 NPI

Christopher E. Bonacci, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Vienna, VA

NPI number 1609211325 Active

Practice location

361 Maple Ave W
Vienna, VA 22180-4304

Fax (703) 255-4958

Mailing address

361 Maple Avenue W.
Vienna, VA 22180

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X0401102631 (VA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1609211325

Christopher E. Bonacci, DDS, MD's National Provider Identifier is 1609211325, issued on May 8, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Vienna, VA. The record was last updated on May 8, 2013.