DR. Kalyssa Mae Bontrager, DDS

NPI #1386203693 in Lagrange, Indiana

Provider Information

NPI Number: 1386203693
Entity Type: Individual
Name: DR. Kalyssa Mae Bontrager, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 10, 2019
Last Updated: Jun 10, 2019

Practice Location

Address: 612 S DETROIT ST
City: Lagrange
State: Indiana
ZIP Code: 46761-2314
Phone: (260) 463-2111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
Bontrager Family Dentistry LLC	Dentist	Lagrange	AI Deep Dive

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