Organization
BRONSON DENTAL PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MERRITT BRONSON D.D.S. (PRESIDENT)
(831) 212-3997
Entity
Organization
Contact information
Practice address
550 WATER ST STE K4, SANTA CRUZ, CA 95060-4136
(831) 212-3997
Mailing address
550 WATER ST STE K4, SANTA CRUZ, CA 95060-4136
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
31754
CA
Other
Enumeration date
06/21/2007
Last updated
08/22/2020
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