Individual
ANUSHA BONTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4969 US HIGHWAY 98 N, LAKELAND, FL 33809-3657
(863) 614-0044
Mailing address
600 TECHNOLOGY PARK STE 101, LAKE MARY, FL 32746-7122
(407) 543-8514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN27656
FL
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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