Individual
DR. MARK EDWARD BRONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
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
19409
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0852591
—
OH
Enumeration date
11/14/2006
Last updated
07/08/2007
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