Individual
BARRY RONALD BERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
110 PAINTERS MILL RD, SUITE 8, OWINGS MILLS, MD 21117-4920
(410) 363-4422
(410) 581-1825
Mailing address
110 PAINTERS MILL RD, SUITE 8, OWINGS MILLS, MD 21117-4920
(410) 363-4422
(410) 581-1825
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
4790
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45061000
—
MD
Enumeration date
08/10/2005
Last updated
03/25/2011
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