Individual
DR. LAURA M BODNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
306 COMMUNITY DR, APT 3O, MANHASSET, NY 11030-3838
(516) 972-0857
Mailing address
306 COMMUNITY DR, APT 3O, MANHASSET, NY 11030-3838
(516) 972-0857
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
057260
NY
Other
Enumeration date
05/17/2014
Last updated
11/16/2014
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