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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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