Individual
DR. MATTHEW JOSEPH BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1005 E LASALLE AVE, SOUTH BEND, IN 46617-2818
(574) 367-7000
Mailing address
1005 E LASALLE AVE, SOUTH BEND, IN 46617-2879
(574) 367-7000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12013342A
IN
Other
Enumeration date
05/08/2018
Last updated
05/26/2020
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