Individual
DR. BERNIDA LUCILE IQBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
498 NW 18TH ST, RICHMOND, IN 47374-2851
(765) 914-1934
Mailing address
104 CHURCH ROCK PL, GALLUP, NM 87301-4511
(765) 914-1934
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12007350A
IN
1223D0001X
Public Health Dentistry
Primary
12007350A
IN
Other
Enumeration date
03/07/2007
Last updated
09/11/2025
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