Organization
GARY L. BERMAN, D.M.D.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L BERMAN DMD (PRESIDENT)
(860) 423-5518
Entity
Organization
Contact information
Practice address
720 MAIN ST, WILLIMANTIC, CT 06226-2604
(860) 423-5518
(860) 456-1617
Mailing address
28 PINE RIDGE LN, MANSFIELD CENTER, CT 06250-1622
(860) 423-2004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5005
CT
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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