Organization
JAMES M BRONSON, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MERRITT BRONSON D.D.S. (PRESIDENT)
(703) 506-9805
Entity
Organization
Contact information
Practice address
6800 FLEETWOOD RD STE 100, MC LEAN, VA 22101-3604
(703) 506-9805
Mailing address
6800 FLEETWOOD RD STE 100, MC LEAN, VA 22101-3604
(703) 506-9805
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401006161
VA
Other
Enumeration date
08/07/2006
Last updated
02/25/2015
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