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DR. MARVIN STEPHEN BERMAN DMD
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1114940020
Individual Registrant:DR. MARVIN STEPHEN BERMAN DMD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
217 LINCOLN STREET HEALDSBURG, CA 95448-3622 US
Tel: 917-584-8607 Fax: 212-759-7936
Tel: 917-584-8607 Fax: 212-759-7936
Contact information for business:
217 LINCOLN STREET HEALDSBURG, CA 95448-3622 US
Tel: 917-584-8607 Fax: 212-759-7936
Tel: 917-584-8607 Fax: 212-759-7936
Registration Information:
NPI: 1114940020
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 1223G0001X | Dental Providers Dentist General Practice | NY | 033879-1 |
| Y | 122300000X | Dental Providers Dentist | NY | 033879 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
