DR. John Bonner, D.D.S.

NPI #1750479309 in Mount Dora, Florida

Provider Information

NPI Number: 1750479309
Entity Type: Individual
Name: DR. John Bonner, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: D.D.S.
Enumeration Date: Oct 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2600 WASHINGTON RD
City: Mount Dora
State: Florida
ZIP Code: 32757-3525
Phone: (352) 735-0777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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