| NPI | 1912031105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGNACIO Z. BERNARDO Dentist 304-346-0637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 3257) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2024-05-13 |