Individual
DR. GREGORY JAY BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.S.
Contact information
Practice address
1971 NORTH ZARAGOZA ROAD BUILDING A, EL PASO, TX 79938
(248) 229-7387
Mailing address
11458 NAPOLSKE CT, EL PASO, TX 79936-3326
(248) 229-7387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901019030
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
25835
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DD3357
NM
Other
Enumeration date
08/20/2006
Last updated
05/29/2013
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