Organization
BERKE DENTAL CORPORATION
Active
Other names
GOLDEN AGE DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL D BERKE DDS (PRESIDENT)
(714) 992-2999
Entity
Organization
Contact information
Practice address
701 S RAYMOND AVE, SUITE 4B, FULLERTON, CA 92831-5201
(714) 992-2999
(714) 992-0759
Mailing address
701 S RAYMOND AVE, SUITE 4B, FULLERTON, CA 92831-5201
(714) 992-2999
(714) 992-0759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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