Bernal, Lissette R
Bernal, Lissette R is an sole proprietor health care provider with primary practice located at 1291 Winter Garden Vineland Rd Ste 140 , Winter Garden FL 34787-6705. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Bernal, Lissette R can be contacted via phone (407) 614-5955.Contact Information
Primary practice address
1291 Winter Garden Vineland Rd Ste 140
Winter Garden FL 34787-6705
Phone: (407) 614-5955
Fax: (407) 614-5001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN17413 | Florida |
Profile Details
| NPI number | 1437136082 |
|---|---|
| LBN Legal business name | Bernal, Lissette R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2005 |
| Last updated | Apr 17th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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