Individual
JORDAN DAVID BRONSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10 RICHLAND MEDICAL PARK DR STE A, COLUMBIA, SC 29203-6892
(803) 434-7000
Mailing address
700 WOODROW ST UNIT 103, COLUMBIA, SC 29205-1770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9427
SC
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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