Individual
LERY BONNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10454 NW 5TH TER, MIAMI, FL 33172-4070
(305) 790-5323
Mailing address
10454 NW 5TH TER, MIAMI, FL 33172-4070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22923
FL
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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