Individual
DR. IGNACIO Z. BERNARDO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
202 3RD AVE, MONTGOMERY, WV 25136-2222
(304) 442-5136
(304) 442-5166
Mailing address
202 3RD AVE, MONTGOMERY, WV 25136-2222
(304) 442-5136
(304) 442-5166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3257
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7800012000
—
WV
Enumeration date
08/10/2006
Last updated
07/09/2007
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