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Bonita Palm Dental
Dental Clinic/Center in Bonita Springs, Florida
NPI 1235702887

Bonita Palm Dental is a Dental Clinic/Center based in Bonita Springs, FL and is specialized in Dental. Bonita Palm Dental practices in Bonita Springs, FL. The NPI Number for Bonita Palm Dental is 1235702887 and holds a License No. (Florida).

The current practice location address for Bonita Palm Dental is 9776 Bonita Beach Rd Se Ste 202A, Bonita Springs, FL and can be reached out via phone at 239-221-7079.

Location: 9776 Bonita Beach Rd Se Ste 202A, Bonita Springs, FL, 34135-4775
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235702887
Provider Name
Bonita Palm Dental
Credential
Provider Entity Type
Organization
Address
9776 Bonita Beach Rd Se Ste 202A, Bonita Springs, FL, 34135-4775
Phone Number
239-221-7079
Fax Number
Provider Enumeration Date
07/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0026911 05 FL
institution
Provider Business Practice Location Address Details
Address
9776 Bonita Beach Rd Se Ste 202A
City
Bonita Springs
State
Florida
Zip
34135-4775
Phone Number
239-221-7079
Fax Number
person
Provider Business Mailing Address Details
Address
9776 Bonita Beach Rd Se Ste 202A
City
Bonita Springs
State
Florida
Zip
34135-4775
Phone Number
239-221-7079
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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