| Organization Name: | NICOLAS LEONARDI BRONZINI, D.D.S., INC. |
| NPI Number: | 1356515241 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICOLAS L BRONZINI (PEDIATRIC DENTIST) |
| Mailing Address: | 101 Taylor Blvd Millbrae |
| State: | CA US |
| Postal Code: | 940301915 |
| Phone Number: | 6506970981 |
| Fax Number: | 6506970987 |
| NPI Enumeration Date: | 04/22/2008 |
| NPI Last Update Date: | 04/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 53767 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |