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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