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Organization

DAVID BERNAL DDS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID BERNAL DDS (OWNER)
(409) 853-3100
Entity
Organization

Contact information

Practice address
7675 MEMORIAL BLVD, SUITE 200, PORT ARTHUR, TX 77640
(409) 853-3100
(409) 727-3249
Mailing address
7675 MEMORIAL BLVD, SUITE 200, PORT ARTHUR, TX 77640
(409) 853-3100
(409) 727-3249

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24729
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209014402
TX
Enumeration date
03/28/2011
Last updated
05/13/2013
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