Dr. Neil Craig Bonstrom, DDS
Dentist in Edina, MN. Individual provider (NPI-1).
NPI number1487740593
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1487740593
- Entity type
- Individual (NPI-1)
- Name
- Dr. Neil Craig Bonstrom
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D8226 | MN | Yes |
Practice location
6550 York Ave SSuite 302
Edina, MN 55435
Phone 952-920-0863 · Fax 952-922-8314
Mailing address
6550 York Ave SoSuite 302
Edina, MN 55435
Phone 952-920-0863 · Fax 952-922-8314
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