Organization · Type 2 NPI
Christopher E. Bonacci DDS MD PC
Oral and Maxillofacial Surgery Clinic/Center · Vienna, VA
NPI number
1720006661
Active
Practice location
361 Maple Ave W, Suite 200
Vienna, VA 22180-4304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | 0101057525 (VA) |
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | 0401102631 (VA) |
Oral and Maxillofacial Surgery Clinic/Center: 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.
2 other providers at this address
About NPI 1720006661
Christopher E. Bonacci DDS MD PC's National Provider Identifier is 1720006661, issued on Jul 18, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Vienna, VA. The record was last updated on Sep 23, 2011.