SearchFloridaGeneral Practice Dentistry

Laban Bontrager, DMD

NPI 1336260322 · on the registry since 2007 · sole proprietor

Practice

Address
12761 Ne Pea Ridge Rd
Bristol, FL 32321
Phone
(850) 643-5417
Fax
(850) 643-5728

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida