| NPI | 1326867284 |
|---|---|
| Doing Business As | LIGHTHOUSE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JORDAN DAVID BRONSTEIN Dentist 804-855-8636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |