Individual
DR. DAVID RANDALL SHERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6882 GULFPORT BLVD S, SOUTH PASADENA, FL 33707-2108
(727) 384-9655
Mailing address
2 LINCOLN AVE S, ST PETERSBURG, FL 33711-5121
(860) 919-0586
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
010031
CT
122300000X
Dentist
Primary
DN20026
FL
Other
Enumeration date
06/01/2009
Last updated
12/13/2012
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