Individual provider · Type 1 NPI

Annie Grace Bonis, DDS

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1730972852 Active

Practice location

3320 Rutger St
St. Louis, MO 63104-1122

Call (314) 977-8363 Map

Mailing address

5700 Highlands Plaza Dr Apt 4061
St. Louis, MO 63110-1376

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730972852

Annie Grace Bonis, DDS's National Provider Identifier is 1730972852, issued on May 22, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on May 22, 2025.