Organization
BERST DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ELLEN BERST DDS (CO OWNER DENTIST)
(319) 247-7008
Entity
Organization
Contact information
Practice address
4900 N RIVER BLVD NE, CEDAR RAPIDS, ID 52411
(319) 247-7008
(319) 378-0937
Mailing address
4900 N RIVER BLVD NE, CEDAR RAPIDS, ID 52411
(319) 247-7008
(319) 378-0937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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