# JONATHAN J. BROMBOZ, DDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinique for Aesthetic & Natural Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518176999
- **Authorized official:** DR. JONATHAN J BROMBOZ DDS (DOCTOR)
- **Authorized official phone:** (727) 712-3837

## Contact information

- **Practice address:** 2701 PARK DR, SUITE 4, CLEARWATER, FL 33763-1021
- **Practice address phone:** (727) 712-3837
- **Practice address fax:** (727) 712-0105
- **Mailing address:** 2701 PARK DR, SUITE 4, CLEARWATER, FL 33763-1021
- **Mailing address phone:** (727) 712-3837
- **Mailing address fax:** (727) 712-0105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 14423 | FL | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020