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Organization
JORDAN BRONSTEIN DMD PLLC
Active
Organization
JORDAN BRONSTEIN DMD PLLC
Active
Other names
Lighthouse Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN DAVID BRONSTEIN DMD (DENTIST)
(804) 855-8636
Entity
Organization
Contact information
Practice address
2471 DELANEY AVE, WILMINGTON, NC 28403-6061
(910) 762-3481
Mailing address
434 TANBRIDGE RD, WILMINGTON, NC 28405-3922
(804) 855-8636
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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