Individual
DR. SKY ASHLEY BERDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
485 1ST AVE APT 5T, NEW YORK, NY 10016-8627
(917) 406-3773
Mailing address
1611 PELHAM PKWY N, BRONX, NY 10469-6416
(917) 406-3773
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
053590
NY
390200000X
Student in an Organized Health Care Education/Training Program
P44160
NY
Other
Enumeration date
05/01/2007
Last updated
07/24/2007
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