| 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 |
|---|---|
| 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 |
|---|---|
| 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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