Search › Florida › 1223G0001X
Kenneth Bommarito, D.D.S
NPI 1497822084 · on the registry since 2006 · sole proprietor
Practice
- Address
- 121 Waterman Ave
Mount Dora, FL 32757 - Phone
- (352) 735-0758
- Fax
- (352) 735-0751
- Organisation at this address
- Kinnar R Shah Dmd Pa
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
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