Organization
RAEL BERNSTEIN D.D.S., A PROFESSIONAL CORPORATION
Active
Parent organization
RAEL BERNSTEIN D.D.S., A PROFESSIONAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAEL BERNSTEIN D.D.S., A PROFESSIONAL CORPORATION
Authorized official
CYNTHIA J RUSSO (DIRECTOR OF FINANCE)
(707) 230-5602
Entity
Organization
Contact information
Practice address
1970 FREEDOM BLVD, FREEDOM, CA 95019-2836
(707) 230-5602
(707) 230-5620
Mailing address
2180 NORTHPOINT PKWY, SANTA ROSA, CA 95407-7395
(707) 230-5602
(707) 230-5620
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
08/25/2021
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