| NPI | 1881181030 |
|---|---|
| Doing Business As | BONITA ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | NATHAN CANNON DEWSNUP Owner 239-498-7668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN22368) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |