Individual
DR. SAMUEL JAY BERNGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1729 E SAGINAW ST, LANSING, MI 48912-2324
(517) 484-2400
(517) 484-5210
Mailing address
1729 E SAGINAW ST, LANSING, MI 48912-2324
(517) 484-2400
(517) 484-5210
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
O12O74
MI
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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