Individual
JOHN MARTIN BERWIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
911 11TH AVE, SUITE A, LONGVIEW, WA 98632-2547
(360) 423-4020
(360) 636-1460
Mailing address
911 11TH AVE, SUITE A, LONGVIEW, WA 98632-2547
(360) 423-4020
(360) 636-1460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4319
WA
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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