Bommarito, Kenneth J

Bommarito, Kenneth J is an sole proprietor health care provider with primary practice located at 121 Waterman Ave , Mount Dora FL 32757-9541. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bommarito, Kenneth J can be contacted via phone (352) 735-0758.

Contact Information

Primary practice address
121 Waterman Ave Mount Dora FL 32757-9541
Fax: (352) 735-0751
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 11568 Florida

Profile Details

NPI number 1497822084
LBN Legal business name Bommarito, Kenneth J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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