Individual
DR. JUAN BERNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
GENERAL DENTIST/IMPL
Contact information
Practice address
3RD STREET AND AVE. A, SUITE #8, SAN LUIS, AZ 85349-6173
(928) 328-8237
Mailing address
3RD STREET AND A, SUITE #8, LOS ALGODONES, MEXICALI 21970
(928) 328-8237
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3862950
AZ
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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