DR. Kenneth J Bommarito, D.D.S.

NPI #1497822084 in Mount Dora, Florida

Provider Information

NPI Number
1497822084
Entity Type
Individual
Name
DR. Kenneth J Bommarito, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Nov 29, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
121 WATERMAN AVE
State
Florida
ZIP Code
32757-9541
Phone
(352) 735-0758

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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