Organization
RAEL BERNSTEIN DDS A PROF CORP
Active
Parent organization
BERNSTEIN ORTHODONTICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
BERNSTEIN ORTHODONTICS
Authorized official
DR. RAEL I BERNSTEIN DDS (ORTHODONTIST/OWNER)
(707) 575-0600
Entity
Organization
Contact information
Practice address
1620 VALLE VISTA AVE, STE 200, VALLEJO, CA 94589-2842
(707) 552-4940
Mailing address
2245 MONTGOMERY DR, SANTA ROSA, CA 95405-4900
(707) 575-7545
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
46245
CA
Other
Enumeration date
08/27/2016
Last updated
08/27/2016
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