| NPI | 1659992865 |
|---|---|
| Doing Business As | BONAVENTURE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JUSTIN BONAVENTURE Owner/President 225-936-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |