Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURA BODNAR
Deactivated Sole ProprietorLAURA BODNAR is a Dentist healthcare provider located in COSTA MESA, California. NPI 1750146312 is deactivated in the NPPES registry. Verify at CMS.
Dentist · COSTA MESA, CA
This NPI has been deactivated.
The record was deactivated on October 3, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1750146312
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 13, 2024 (0.63661202185792 yrs)
- Last Updated
- Oct 9, 2024
- Deactivated
- Oct 3, 2024
- License
-
110894 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3030 HARBOR BLVD STE G1COSTA MESA, CA, 926262562Browse CA providers · Browse ZIP 92626
- Phone
- 7145466100
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Dentist
Other Dentist Providers in COSTA MESA, CA
| Name | Credential | NPI |
|---|---|---|
| SEPIDEH MOEINOLMOLKI | D.D.S. | 1083697106 |
| DR. ALAN MILLER | D.D.S. | 1578535944 |
| DR. DUC THE VU | DDS | 1982660452 |
| THOMAS J ROLFES | DDS | 1639124860 |
| DR. TIMOTHY P FOLEY | — | 1427099084 |
| DR. CHRISTINA THANH DO | DDS | 1306856364 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.