Individual
LAURA ELLEN BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
85 BARNES RD, SUITE 207, WALLINGFORD, CT 06492-1832
(203) 678-1201
(203) 678-1209
Mailing address
25 NEEDHAM ST, NEWTON, MA 02461-1615
(617) 964-6681
(617) 630-0141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
007819
CT
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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