Provider Demographics
NPI:1073771937
Name:ARROYO, BONNIE MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:MARIE
Last Name:ARROYO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2809 BOSTON ST
Mailing Address - Street 2:SUITE 510
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-4814
Mailing Address - Country:US
Mailing Address - Phone:443-928-2857
Mailing Address - Fax:
Practice Address - Street 1:1228 DOCKSIDE CIR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-4894
Practice Address - Country:US
Practice Address - Phone:443-928-2857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD144661223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery