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Individual

DR. BENJAMIN DAVID BERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3600 80TH ST, KENOSHA, WI 53142-4900
(262) 697-5444
Mailing address
3600 80TH ST, KENOSHA, WI 53142-4900
(262) 697-5444

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.035670
IL
1223G0001X
General Practice Dentistry
Primary
6001405
WI

Other

Enumeration date
02/08/2024
Last updated
11/12/2025
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