Individual
JEFFREY IRA BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
17270 HAWTHORNE BLVD, TORRANCE, CA 90504-1032
(310) 542-7331
(310) 542-5154
Mailing address
17270 HAWTHORNE BLVD, TORRANCE, CA 90504-1032
(310) 542-7331
(310) 542-5154
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
26035
CA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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