Organization
BERNABE GENERAL DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HECTOR BOLIVAR BERNABE D.D.S. (DENTIST/PRESIDENT)
(718) 716-1400
Entity
Organization
Contact information
Practice address
1916 GRAND CONCOURSE, SUITE 1A, BRONX, NY 10457-5201
(718) 716-1400
(718) 716-7025
Mailing address
1916 GRAND CONCOURSE, SUITE 1A, BRONX, NY 10457-5201
(718) 716-1400
(718) 716-7025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043696
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01277687
—
NY
Enumeration date
06/06/2008
Last updated
06/06/2008
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