USA Dentac
NPI #1568918340 in Fort Bragg, North Carolina
Provider Information
- NPI Number
- 1568918340
- Entity Type
- Organization
- Organization Name
- USA Dentac
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 123456
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 31, 2016
- Last Updated
- Aug 31, 2016
Practice Location
- Address
- 2817 REILLY ST
- City
- Fort Bragg
- State
- North Carolina
- ZIP Code
- 28310-7324
- Phone
- (910) 643-2196
Authorized Official
- Name
- CHARLES BERNATOVITZ, BSD
- Title
- HSS
- Phone
- (910) 643-2196
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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