Individual
AMBER-LEE HESTER BONANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2115 GULICK AVE, FORT STEWART, GA 31314
(609) 742-5079
Mailing address
15 BARK BRANCH RD, RICHMOND HILL, GA 31324-6900
(609) 742-5079
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH043969
GA
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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