Provider Demographics
NPI:1023311685
Name:SARMIENTO, BERNARDO F JR (DDSMSD)
Entity type:Individual
Prefix:DR
First Name:BERNARDO
Middle Name:F
Last Name:SARMIENTO
Suffix:JR
Gender:M
Credentials:DDSMSD
Other - Prefix:DR
Other - First Name:BERNARDO
Other - Middle Name:F
Other - Last Name:SARMIENTO
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:DDSMSD
Mailing Address - Street 1:13050 LOUETTA RD STE 216
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5208
Mailing Address - Country:US
Mailing Address - Phone:323-691-2147
Mailing Address - Fax:
Practice Address - Street 1:13050 LOUETTA RD STE 216
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-5208
Practice Address - Country:US
Practice Address - Phone:323-691-2147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-20
Last Update Date:2017-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX308391223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics