KENNETH J BOMMARITO

MOUNT DORA, FL
NPI1497822084
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  11568)
Enumeration Date2006-11-29
Last Update Date2007-07-08
Business Address
Dr. KENNETH J BOMMARITO D.D.S.
121 WATERMAN AVE
MOUNT DORA, FL 32757-9541
Phone number: 352-735-0758
Mailing Address
Dr. KENNETH J BOMMARITO D.D.S.
121 WATERMAN AVE
MOUNT DORA, FL 32757-9541
Phone number: 352-735-0758
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