# DAVID BERNAL DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124317375
- **Authorized official:** DR. DAVID BERNAL DDS (OWNER)
- **Authorized official phone:** (409) 853-3100

## Contact information

- **Practice address:** 7675 MEMORIAL BLVD, SUITE 200, PORT ARTHUR, TX 77640
- **Practice address phone:** (409) 853-3100
- **Practice address fax:** (409) 727-3249
- **Mailing address:** 7675 MEMORIAL BLVD, SUITE 200, PORT ARTHUR, TX 77640
- **Mailing address phone:** (409) 853-3100
- **Mailing address fax:** (409) 727-3249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 24729 | TX | Yes |

## Other

- **Enumeration date:** 03/28/2011
- **Last updated:** 05/13/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 209014402 | — | TX |