Kenneth L Bonnette DDS

NPI 1053349571 - Dentist - 122300000X

NPI Details
NPI 1053349571
Gender Male
Enumeration Date 06/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4700 SHREVEPORT BLANCHARD HWY
SHREVEPORT LA, 71107-4702, US
Phone (318) 221-1001
Fax (318) 221-1044
Business Location
4700 SHREVEPORT BLANCHARD HWY
SHREVEPORT LA, 71107-4702, US
Phone (318) 221-1001
Fax (318) 221-1044
Toxanomy
Taxonomy Code 122300000X
License State Louisiana
License Number 3658
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According to our database, Kenneth L Bonnette DDS NPI is 1053349571, taxonomy code is 122300000X and license number is 3658, license state is located at Louisiana. Kenneth L Bonnette DDS physically located at 4700 Shreveport Blanchard Hwy, Shreveport LA, 71107-4702. NPI Number Kenneth L Bonnette DDS has the Individual type.

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1053349571 NPI number is provided on an as is basis without warranty of any kind. 1053349571 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth L Bonnette DDS are for informational purposes only.