Organization
ROCKLAND PEDIATRIC DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH LAWRENCE BERK DDS (PRESIDENT)
(845) 634-8900
Entity
Organization
Contact information
Practice address
238 N MAIN ST, NEW CITY, NY 10956-5302
(845) 634-8900
(845) 634-3978
Mailing address
238 N MAIN ST, NEW CITY, NY 10956-5302
(845) 634-8900
(845) 634-3978
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
032270
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032270
LICENSE
NY
01
—
045625
LICENSE
NY
Enumeration date
02/13/2007
Last updated
08/22/2020
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