Organization
IGNACIO Z. BERNARDO, JR., D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGNACIO ZAPANTA BERNARDO JR. D.D.S. (DENTIST)
(304) 442-5136
Entity
Organization
Contact information
Practice address
202 3RD AVE, MONTGOMERY, WV 25136-2222
(304) 442-5136
Mailing address
202 3RD AVE, MONTGOMERY, WV 25136-2222
(304) 442-5136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3257
WV
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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