Individual
DR. LAURA L BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
402 S METRO PKWY, ROGERS, AR 72758-8530
(479) 899-6400
(479) 358-1454
Mailing address
402 S METRO PKWY, ROGERS, AR 72758-8530
(479) 899-6400
(479) 358-1454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DEN-9923
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4016
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209905608
—
AR
Enumeration date
06/15/2009
Last updated
12/30/2015
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