| Bronitsky Family Dentistry | |
|
17952 Sw Blanton St Aloha OR 97007-1329 | |
| (503) 649-5665 | |
| (503) 649-6857 |
| Full Name | Bronitsky Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17952 Sw Blanton St, Aloha, Oregon |
| Authorized Official Name and Position | Erica B Bronitsky (SOLE MEMBER) |
| Authorized Official Contact | 5036495665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bronitsky Family Dentistry 17952 Sw Blanton St Aloha OR 97007-1329 Ph: (503) 649-5665 | Bronitsky Family Dentistry 17952 Sw Blanton St Aloha OR 97007-1329 Ph: (503) 649-5665 |
| NPI Number | 1760807309 |
|---|---|
| Provider Enumeration Date | 02/18/2014 |
| Last Update Date | 02/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760807309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9138 (Oregon) | Primary |
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