Organization
RAEL BERNSTEIN DDS APC
Active
Parent organization
RAEL BERNSTEIN, D.D.S., A PROFESSIONAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAEL BERNSTEIN, D.D.S., A PROFESSIONAL CORPORATION
Authorized official
CYNTHIA J RUSSO (DIRECTOR OF FINANCE)
(707) 230-5602
Entity
Organization
Contact information
Practice address
1600 N PARK BLVD, PITTSBURG, CA 94565
(707) 575-0600
(707) 230-5620
Mailing address
2245 MONTGOMERY DR, SANTA ROSA, CA 95405-4900
(707) 230-5602
(707) 230-5620
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
46245
CA
Other
Enumeration date
08/27/2018
Last updated
08/28/2018
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