| Bonner Orthodontics, Pllc | |
|
402 S Metro Pkwy Rogers AR 72758-8530 | |
| (479) 899-6400 | |
| Not Available |
| Full Name | Bonner Orthodontics, Pllc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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