Provider Demographics
NPI:1972300150
Name:BOND AESTHETIC, P.A.
Entity type:Organization
Organization Name:BOND AESTHETIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPEKTOR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-365-3060
Mailing Address - Street 1:2875 NE 191ST ST STE 201
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2830
Mailing Address - Country:US
Mailing Address - Phone:917-365-3060
Mailing Address - Fax:
Practice Address - Street 1:2875 NE 191ST ST STE 201
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2830
Practice Address - Country:US
Practice Address - Phone:917-365-3060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty