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Individual

DR. AVRAM SIMEON BERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
333 KENNEDY DR, SUITE L101, TORRINGTON, CT 06790-3060
(860) 482-3513
(860) 482-3514
Mailing address
333 KENNEDY DR, SUITE L101, TORRINGTON, CT 06790-3060
(860) 482-3513
(860) 482-3514

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4357
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002043578
CT
Enumeration date
10/11/2005
Last updated
05/10/2021
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