Organization
ERICA BRONITSKY, DMD, LLC
Active
Other names
Bronitsky Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA B BRONITSKY DMD, LLC (SOLE MEMBER)
(503) 649-5665
Entity
Organization
Contact information
Practice address
17952 SW BLANTON ST, ALOHA, OR 97007-1329
(503) 649-5665
(503) 649-6857
Mailing address
17952 SW BLANTON ST, ALOHA, OR 97007-1329
(503) 649-5665
(503) 649-6857
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9138
OR
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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