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DR. MARVIN STEPHEN BERMAN DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1114940020

Individual Registrant:
DR. MARVIN STEPHEN BERMAN DMD
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

Contact information for business:
217 LINCOLN STREET  HEALDSBURG, CA 95448-3622 US
Tel: 917-584-8607  Fax: 212-759-7936

Registration Information:
NPI: 1114940020
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223G0001XDental Providers
Dentist
General Practice
NY033879-1
Y122300000XDental Providers
Dentist
NY033879

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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