Organization
RAEL BERNSTEIN DDS APC
Active
Other names
Wow Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA J RUSSO (DIRECTOR OF FINANCE)
(707) 230-5602
Entity
Organization
Contact information
Practice address
1252 AIRPORT PARK BLVD, SUITE A-1, UKIAH, CA 95482
(707) 583-8969
Mailing address
PO BOX 2791, SANTA ROSA, CA 95405-0791
(707) 583-8969
(707) 575-5375
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/09/2015
Last updated
08/28/2018
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