Individual
DR. BERTA SHCHEGOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11024 67TH DR, FOREST HILLS, NY 11375-2948
(718) 304-6480
Mailing address
11024 67TH DR, FOREST HILLS, NY 11375-2948
(718) 304-6480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061340-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2019
Last updated
02/01/2022
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