Individual
HECTOR CHRISTIAN BERNABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
1916 GRAND CONCOURSE, BRONX, NY 10457-5201
(718) 716-1400
Mailing address
764 10TH ST, SECAUCUS, NJ 07094-2903
(201) 522-8193
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
024141
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024141
DENTAL HYGIENE LICENSE
NY
Enumeration date
06/11/2008
Last updated
06/11/2008
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