| NPI | 1083818710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S. BERKLEY Owner 203-937-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CT 7026) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-10-03 |