Laban Bontrager, DMD

NPI #1336260322 in Bristol, Florida

Provider Information

NPI Number
1336260322
Entity Type
Individual
Name
Laban Bontrager, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Apr 3, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
12761 NE PEA RIDGE RD
State
Florida
ZIP Code
32321
Phone
(850) 643-5417

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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