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Individual

MARIA RITA BERNARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
116 HILLS PLZ, CHARLESTON, WV 25387-2438
(304) 414-4493
(304) 720-4813
Mailing address
301-6 GREAT TEAYS BLVD, SCOTT DEPOT, WV 25560
(304) 757-6999
(304) 757-3252

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3285
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000970197
MS BCBS
WV
05
0134436000
WV
01
5525660
AETNA
WV
Enumeration date
01/24/2006
Last updated
07/05/2019
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