Organization
USA DENTAC HQS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BERNATOVITZ BSD (HSS)
(910) 643-2196
Entity
Organization
Contact information
Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-7324
(910) 643-2196
Mailing address
2817 REILLY ST, FORT BRAGG, NC 28310-7324
(910) 643-2196
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1486
NC
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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