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Individual
DR. MONICA W BONTRAGER
Active
Individual
DR. MONICA W BONTRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN18548
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001594800
—
FL
05
—
001866400
—
FL
Enumeration date
12/29/2008
Last updated
10/18/2010
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