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General NPI Number Information
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NPI Number | 1518326602
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Entity Type | Organization
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Legal Business Name | ALVAREZ & BERNARDO DENTAL CORPORATION
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 01/25/2018
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Provider Practice Location Address
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Address Line | 1200 E. WASHINGTON ST. STE. F-2
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City | COLTON
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State | CA
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Zip | 92324-0520
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Country | US
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Telephone | 909-422-0885
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Fax | 909-422-0885
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Provider Business Mailing Address
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Address Line | P.O. BOX 520 1200 E. WASHINGTON ST., STE. F-2
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City | COLTON
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State | CA
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Zip | 92324-0520
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Country | US
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Telephone | 909-422-0885
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Fax | 909-422-0890
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Authorized Official
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Title or Position | PRESIDENT/OWNER/DENTIST
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Name | DR. SERAFIN LABAO BERNARDO JR.
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Credential | DDS
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Telephone | 909-422-0885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 37788
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 37788
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License Number State | CA
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