Individual
DR. JOHN BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2600 WASHINGTON RD, MOUNT DORA, FL 32757-3525
(352) 735-0777
(352) 735-4121
Mailing address
2600 WASHINGTON RD, MOUNT DORA, FL 32757-3525
(352) 735-0777
(352) 735-4121
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN10714
FL
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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