Dr. Robert Lusk Bonham, DDSDENTIST
Dr. Robert Lusk Bonham, DDSDENTIST is a Dentist in So Bend, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2010
Practice location Address checks out
1222 L.w.eSo Bend, IN 46601
Phone: (574) 287-3300
Fax: (574) 287-3301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 6474 (IN) |
|---|
Record details
| NPI number | 1952605560 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDSDENTIST |
| Sole proprietor | Yes |
| NPI enumerated | December 23, 2010 |
| Last updated in NPPES | December 23, 2010 |