Organization
MARK E. BRONSON DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDWARD BRONSON DDS (PRESIDENT)
(513) 242-1601
Entity
Organization
Contact information
Practice address
4935 PADDOCK RD, CINCINNATI, OH 45237-5548
(513) 242-1601
Mailing address
4935 PADDOCK RD, CINCINNATI, OH 45237-5548
(513) 242-1601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-19409
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0852591
—
OH
Enumeration date
02/08/2007
Last updated
08/22/2020
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