Organization
JAMES M BRONSON, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M BRONSON D.D.S. (PRESIDENT)
(434) 202-7125
Entity
Organization
Contact information
Practice address
3054 BERKMAR DR, UNIT A, CHARLOTTESVILLE, VA 22901-3407
(434) 202-7125
Mailing address
4954 OLD DOMINION DR, ARLINGTON, VA 22207-2854
(703) 506-9805
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401006161
VA
Other
Enumeration date
10/08/2012
Last updated
11/20/2012
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