Individual
DR. BARRY ALAN BERNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
14640 N TATUM BLVD, SUITE 1, PHOENIX, AZ 85032-4824
(602) 971-5570
(602) 787-1639
Mailing address
14640 N TATUM BLVD, SUITE 1, PHOENIX, AZ 85032-4824
(602) 971-5570
(602) 787-1639
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2121
AZ
1223P0106X
Oral and Maxillofacial Pathology Dentistry
2121
AZ
Other
Enumeration date
05/05/2008
Last updated
05/08/2008
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