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DR. SAMUEL BERKOWITZ DDS MS FICD
Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental ProvidersRegistrant NPI Number: 1821177536
Individual Registrant:DR. SAMUEL BERKOWITZ DDS MS FICD
Gender: M
Not Sole Proprietor
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
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: --
Tel: 305-667-3126 Fax: --
Registration Information:
NPI: 1821177536
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223X0400X | Dental Providers Dentist Orthodontics and Dentofacial Orthopedics | FL | 0001163 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
