Individual
DR. KEITH ROBERT CHERTOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2620 ASHBY AVE STE 101, BERKELEY, CA 94705-2208
(510) 548-0150
(510) 548-0156
Mailing address
2620 ASHBY AVE STE 101, BERKELEY, CA 94705-2208
(510) 548-0150
(510) 548-0156
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
38634
CA
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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