Bonita Estero Dental Group | |
24940 S Tamiami Trl Ste 202 Bonita Springs FL 34134-7824 | |
(239) 948-4886 | |
Not Available |
Full Name | Bonita Estero Dental Group |
---|---|
Speciality | Dentist - General Practice |
Location | 24940 S Tamiami Trl Ste 202, Bonita Springs, Florida |
Authorized Official Name and Position | Cassandra Nichole Teutsch (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2179946957 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bonita Estero Dental Group 24940 S Tamiami Trl Ste 202 Bonita Springs FL 34134-7824 Ph: (239) 948-4886 | Bonita Estero Dental Group 24940 S Tamiami Trl Ste 202 Bonita Springs FL 34134-7824 Ph: (239) 948-4886 |
NPI Number | 1801323548 |
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Provider Enumeration Date | 05/12/2017 |
Last Update Date | 05/12/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801323548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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