Individual
MARTIN RANDALL BERST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4900 N RIVER BLVD NE, CEDAR RAPIDS, IA 52411
(319) 247-7008
(319) 378-0937
Mailing address
4900 N RIVER BLVD NE, CEDAR RAPIDS, IA 52411
(319) 247-7008
(319) 378-0937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7823
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1153965
—
IA
Enumeration date
10/06/2006
Last updated
07/08/2007
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