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DR. JOHN HOEY BONURA DMD
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1548216385
Individual Registrant:DR. JOHN HOEY BONURA DMD
Gender: M
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
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
Tel: 386-776-2532 Fax: 386-776-3132
Registration Information:
NPI: 1548216385
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | FL | DN 12270 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
