| NPI | 1427250125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT P BERG President 516-872-8780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 029477) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2012-10-13 |