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Contact Information

CHRISTOPHER E. BONACCI DDS MD PC
361 MAPLE AVE W
SUITE 200
VIENNA, VA22180-4304
 Phone: 703-255-9400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for CHRISTOPHER E. BONACCI DDS MD PC

NPI Number 1720006661
LBN Legal business name CHRISTOPHER E. BONACCI DDS MD PC
Authorized official CHRISTOPHER BONACCI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2006
Last updated 09/23/2011 - About 15 years ago
Identifiers
VA License # 0101057525
VA License # 0401102631
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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