David Bernal Dds, Pllc | |
7675 Memorial Blvd Suite 200 Port Arthur TX 77640 | |
(409) 853-3100 | |
(409) 727-3249 |
Full Name | David Bernal Dds, Pllc |
---|---|
Speciality | Dentist |
Location | 7675 Memorial Blvd, Port Arthur, Texas |
Authorized Official Name and Position | David Bernal (OWNER) |
Authorized Official Contact | 4098533100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
David Bernal Dds, Pllc 7675 Memorial Blvd Suite 200 Port Arthur TX 77640 Ph: (409) 853-3100 | David Bernal Dds, Pllc 7675 Memorial Blvd Suite 200 Port Arthur TX 77640 Ph: (409) 853-3100 |
NPI Number | 1124317375 |
---|---|
Provider Enumeration Date | 03/28/2011 |
Last Update Date | 05/13/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124317375 | NPI | - | NPPES |
209014402 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 24729 (Texas) | Primary |
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