# IGNACIO Z. BERNARDO JR., D.D.S., INC.

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

## Provider details

- **NPI number:** 1912031105
- **Authorized official:** DR. IGNACIO Z. BERNARDO JR. (DENTIST)
- **Authorized official phone:** (304) 346-0637

## Contact information

- **Practice address:** 1021 QUARRIER ST, SUITE 500, CHARLESTON, WV 25301
- **Practice address phone:** (304) 346-0637
- **Practice address fax:** (304) 346-5137
- **Mailing address:** 1021 QUARRIER ST, SUITE 500, CHARLESTON, WV 25301
- **Mailing address phone:** (304) 346-0637
- **Mailing address fax:** (304) 346-5137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3257 | WV | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 05/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7800012000 | — | WV |