Individual
DR. EZRA GOLDBERG-O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2125 MCCOMAS WAY, VIRGINIA BEACH, VA 23456-3986
(757) 484-8262
Mailing address
1100 MAIN ST, BUFFALO, NY 14209-2308
(716) 242-8200
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401417899
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/28/2020
Last updated
11/22/2022
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