Individual
ARIEL BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
909 WALNUT ST, PHILADELPHIA, PA 19107-5211
(509) 301-4063
Mailing address
13107 RUSHTONE CT, ORLANDO, FL 32832-6993
(509) 301-4063
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
PENDING
PA
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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