National Provider Identifier
Vitaliya Bardal, DMD
Vitaliya Bardal, DMD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-5051.
Profile Overview
- NPI
- 1598444259
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- July 11, 2023
- Last Updated
- July 11, 2023
Practice Location
- 625 Elmwood Ave
- Rochester, NY 14620-2913
Phone: (585) 275-5051
Mailing Address
- 322 Hillside Drive
- Mississauga, Ontario 527
- CA
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1598444259
- Entity Type
- Individual
- Last Name
- Bardal
- First Name
- Vitaliya
- Name Prefix
- Dr.
- Credential
- DMD
- Mailing Street Address
- 322 Hillside Drive
- Mailing City
- Mississauga
- Mailing State
- Ontario
- Mailing ZIP Code
- 527
- Mailing Country
- CA
- Practice Street Address
- 625 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2913
- Practice Country
- US
- Practice Phone
- (585) 275-5051
- Enumeration Date
- July 11, 2023
- Last Updated
- July 11, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 11, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)