Individual
DR. MITCHEL JON BERNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 742-3662
Mailing address
100 LAKE TRAVERSE DR, PO BOX 189, SISSETON, SD 57262-7046
(605) 742-3662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105026
CO
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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