Individual
DR. JOSHUA STEVEN BRONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
75 WEIBEL AVE, SARATOGA, NY 12866-5328
(518) 633-4446
Mailing address
570 ALBEMARLE PL, CEDARHURST, NY 11516-1004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058098
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04293656
—
NY
Enumeration date
01/28/2014
Last updated
10/05/2018
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