Individual
CODIE BONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
5848 ABRAMS RD, DALLAS, TX 75214-1603
(214) 545-0111
Mailing address
5848 ABRAMS RD, DALLAS, TX 75214-1603
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
37977
TX
Other
Enumeration date
10/28/2021
Last updated
02/05/2022
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