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DR. JOHN HOEY BONURA DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1548216385

Individual Registrant:
DR. JOHN HOEY BONURA DMD
Gender: M

Location and contact information for practice:
20714 168TH ST  LIVE OAK, FL 32060-5285 US
Tel: 386-776-2532  Fax: 386-776-3132

Contact information for business:
20714 168TH ST  LIVE OAK, FL 32060-5285 US
Tel: 386-776-2532  Fax: 386-776-3132

Registration Information:
NPI: 1548216385
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
FLDN 12270

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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