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Organization
USA DENTAC
Active
Organization
USA DENTAC
Active
Parent organization
DENTAC HQS
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAC HQS
Authorized official
CHARLES BERNATOVITZ BSD (HSS)
(910) 643-2196
Entity
Organization
Contact information
Practice address
2817 RIELLY ROAD, FORT BRAGG, NC 28310
(910) 643-2196
Mailing address
2817 RIELLY ROAD, FORT BRAGG, NC 28310
(910) 643-2196
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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