| NPI | 1376732693 |
|---|---|
| Former Legal Business Name | EDWARD BERG DDS MICHAEL LAZAR DDS PC |
| Entity Type | Organization |
| Authorized Contact | PETER L AKL Secretary Owner 516-921-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 037735) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 038902) |
| 1223G0001X Dentist, General Practice (Licence: NY 044778) | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |