Individual
ERICA BETH BRONITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
17952 SW BLANTON ST, ALOHA, OR 97078-1329
(503) 649-5665
(503) 649-6857
Mailing address
17952 SW BLANTON ST, ALOHA, OR 97078-1329
(503) 649-5665
(503) 649-6857
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9138
OR
Other
Enumeration date
08/08/2008
Last updated
05/21/2015
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