Organization
IGNACIO Z. BERNARDO JR., D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGNACIO Z. BERNARDO JR. (DENTIST)
(304) 346-0637
Entity
Organization
Contact information
Practice address
1021 QUARRIER ST, SUITE 500, CHARLESTON, WV 25301
(304) 346-0637
(304) 346-5137
Mailing address
1021 QUARRIER ST, SUITE 500, CHARLESTON, WV 25301
(304) 346-0637
(304) 346-5137
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
03/16/2007
Last updated
05/13/2024
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