Individual
DOUGLAS P BETHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
625 EICHENFELD DR, BRANDON, FL 33511-5908
(813) 654-3636
(813) 651-4984
Mailing address
421 ISLEBAY DR, APOLLO BEACH, FL 33572-3332
(813) 654-3636
(813) 651-4984
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN15106
FL
Other
Enumeration date
07/22/2006
Last updated
02/19/2015
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