Individual
DR. LISSETTE R BERNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1291 WINTER GARDEN VINELAND RD STE 140, WINTER GARDEN, FL 34787-6705
(407) 614-5955
(407) 614-5001
Mailing address
13243 MOSS PARK RIDGE DR, ORLANDO, FL 32832-7098
(407) 694-8144
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN17413
FL
Other
Enumeration date
12/26/2005
Last updated
04/17/2013
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