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DR. SAMUEL BERKOWITZ DDS MS FICD

Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental Providers

Registrant NPI Number: 1821177536

Individual Registrant:
DR. SAMUEL  BERKOWITZ DDS MS FICD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
6601 SW 80 ST SUITE 112 SO MIAMI, FL 33143 US
Tel: 305-667-3126  Fax: 305-667-3140

Contact information for business:
6601 SW 80 ST SUITE 112 SO MIAMI, FL 33143 US
Tel: 305-667-3126  Fax: --

Registration Information:
NPI: 1821177536
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
FL0001163

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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