Individual
DR. JACK DAVID BERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
123 YORK ST, SUITE 2J, NEW HAVEN, CT 06511-5614
(203) 777-2513
(203) 776-1714
Mailing address
123 YORK ST, SUITE 2J, NEW HAVEN, CT 06511-5614
(203) 777-2513
(203) 776-1714
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3727
CT
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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