Bronson Dental Practice, Inc. | |
550 Water St Ste K4 Santa Cruz CA 95060-4136 | |
(831) 212-3997 | |
Not Available |
Full Name | Bronson Dental Practice, Inc. |
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Speciality | Clinic/center - Dental |
Location | 550 Water St Ste K4, Santa Cruz, California |
Authorized Official Name and Position | James Merritt Bronson (PRESIDENT) |
Authorized Official Contact | 8312123997 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bronson Dental Practice, Inc. 550 Water St Ste K4 Santa Cruz CA 95060-4136 Ph: () - | Bronson Dental Practice, Inc. 550 Water St Ste K4 Santa Cruz CA 95060-4136 Ph: (831) 212-3997 |
NPI Number | 1225233935 |
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Provider Enumeration Date | 06/21/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1225233935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 31754 (California) | Primary |
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