Individual
DR. HECTOR BOLIVAR BERNABE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1916 GRAND CONCOURSE, BRONX, NY 10457-5201
(718) 716-1400
(718) 716-7025
Mailing address
1916 GRAND CONCOURSE, BRONX, NY 10457-5201
(718) 716-1400
(718) 716-7025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043696
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01277687
—
NY
Enumeration date
10/19/2005
Last updated
07/09/2007
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