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DR. MARK S BERG D.M.D.

Periodontics >> Dentist >> Dental Providers

Registrant NPI Number: 1780797118

Individual Registrant:
DR. MARK S BERG D.M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
213 HEMPSTEAD AVE  LYNBROOK, NY 11563-1607 US
Tel: 516-599-0575  Fax: --

Contact information for business:
213 HEMPSTEAD AVE  LYNBROOK, NY 11563-1607 US
Tel: 516-599-0575  Fax: --

Registration Information:
NPI: 1780797118
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0300XDental Providers
Dentist
Periodontics
NY31917

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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