Provider Demographics
NPI:1659261915
Name:BONAKDAR, RADIN (DMD)
Entity type:Individual
Prefix:DR
First Name:RADIN
Middle Name:
Last Name:BONAKDAR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4321 COLLINGTON RD STE 210
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-2263
Mailing Address - Country:US
Mailing Address - Phone:301-809-0029
Mailing Address - Fax:
Practice Address - Street 1:4321 COLLINGTON RD STE 210
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-2263
Practice Address - Country:US
Practice Address - Phone:301-809-0029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18825122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist