Justin Leroy Bermudez
Justin Leroy Bermudez is a Student in an Organized Health Care Education/Training Program in Sacramento, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
Sacramento, CANo coordinates on file. Search this address in Google Maps
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DDS109747 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (CA) |
Record details
| NPI number | 1740978246 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 24, 2023 |
| Last updated in NPPES | April 21, 2024 |
| Certification date | April 5, 2024 |
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