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Individual

DR. KENNETH D. BERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
176 N VILLAGE AVE, SUITE 2F, ROCKVILLE CENTRE, NY 11570-3800
(516) 594-3300
(516) 594-1288
Mailing address
176 N VILLAGE AVE, SUITE 2F, ROCKVILLE CENTRE, NY 11570-3800
(516) 594-3300
(516) 594-1288

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0406171
NY

Other

Enumeration date
03/08/2007
Last updated
07/08/2007
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