Individual
DR. ROBERT H. IEZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1525 WALNUT ST, BERKELEY, CA 94709-1512
(510) 845-3511
Mailing address
1525 WALNUT ST, BERKELEY, CA 94709-1512
(510) 845-3511
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
31477
CA
Other
Enumeration date
01/20/2006
Last updated
07/08/2007
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