Individual
BERNICE CASSANDRA LITTLE-MUNDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1839 CENTRAL AVE, ALBANY, NY 12205-4748
(518) 464-0402
(518) 464-0409
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 562-4461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
053237-1
NY
Other
Enumeration date
09/12/2007
Last updated
10/25/2007
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