Bonner Orthodontics, Pllc | |
402 S Metro Pkwy Rogers AR 72758-8530 | |
(479) 899-6400 | |
Not Available |
Full Name | Bonner Orthodontics, Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 402 S Metro Pkwy, Rogers, Arkansas |
Authorized Official Name and Position | Laura Bonner (MEMBER) |
Authorized Official Contact | 4798996400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bonner Orthodontics, Pllc 402 S Metro Pkwy Rogers AR 72758-8530 Ph: () - | Bonner Orthodontics, Pllc 402 S Metro Pkwy Rogers AR 72758-8530 Ph: (479) 899-6400 |
NPI Number | 1598120842 |
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Provider Enumeration Date | 12/30/2015 |
Last Update Date | 12/30/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598120842 | NPI | - | NPPES |
209912631 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4016 (Arkansas) | Primary |
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