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ROBERT BERLIN

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1669573473

Individual Registrant:
 ROBERT  BERLIN 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4875 FLOYD RD SW SUITE 113 MABLETON, GA 30126-1379 US
Tel: 770-732-0900  Fax: --

Contact information for business:
2502 N ROCKY POINT DR SUITE 1000-CREDENTIALING TAMPA, FL 33607-1421 US
Tel: --  Fax: --

Registration Information:
NPI: 1669573473
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
GADN006503

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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