Individual
BRENDAN JOHN BERNHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3020 HAMAKER CT, SUITE 510, FAIRFAX, VA 22031-2238
(703) 645-8001
(703) 645-8002
Mailing address
2140 WOLFTRAP CT, VIENNA, VA 22182-5188
(703) 698-1232
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
410514
VA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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