Family Dentistry of Bonifay

NPI #1558303156 in Bonifay, Florida

Provider Information

NPI Number: 1558303156
Entity Type: Organization
Organization Name: Family Dentistry of Bonifay
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 11, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 110 E NORTH AVE
City: Bonifay
State: Florida
ZIP Code: 32425-1715
Phone: (850) 547-9290

Authorized Official

Name: STAN M PARKER, D.M.D.
Title: DOCTOR
Phone: (850) 547-9290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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