Organization
JUSTIN CHRISTOPHER BERMAN, DMD, INC.
Active
Parent organization
JUSTIN CHRISTOPHER BERMAN, DMD, INC.
Other names
Smile Republic Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
JUSTIN CHRISTOPHER BERMAN, DMD, INC.
Authorized official
DR. JUSTIN CHRISTOPHER BERMAN DMD (CEO)
(786) 351-9233
Entity
Organization
Contact information
Practice address
25425 ORCHARD VILLAGE RD STE 230, SANTA CLARITA, CA 91355-2959
(661) 259-2960
Mailing address
25425 ORCHARD VILLAGE RD STE 230, SANTA CLARITA, CA 91355-2959
(661) 259-2960
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102372
DENTAL BOARD OF CALIFORNIA
CA
01
—
1770065963
NPI
CA
Enumeration date
01/11/2023
Last updated
01/11/2023
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