# MICHAEL BRONSTEIN, D.M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497805139
- **Authorized official:** DR. MICHAEL BRONSTEIN D.M.D. (PRESIDENT)
- **Authorized official phone:** (856) 848-6239

## Contact information

- **Practice address:** 1040 COOPER ST, AT GRANT AVENUE, WOODBURY, NJ 08096-3015
- **Practice address phone:** (856) 848-6239
- **Practice address fax:** (856) 848-3000
- **Mailing address:** 1040 COOPER ST, AT GRANT AVENUE, WOODBURY, NJ 08096-3015
- **Mailing address phone:** (856) 848-6239
- **Mailing address fax:** (856) 848-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | NJ 17378 | NJ | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 08/22/2020