Individual
AMY ELIZABETH BONHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12720 ULMERTON RD, LARGO, FL 33774-3601
(727) 581-1869
(727) 581-2087
Mailing address
12720 ULMERTON RD, LARGO, FL 33774-3601
(727) 581-1869
(727) 581-2087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 18017
FL
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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