NPI | 1851433510 |
---|---|
Doing Business As | CHRISTIAN S. BERDY, DDS |
Former Legal Business Name | DR'S SCOTT, WATSON, MILLER & BERDY, PA |
Entity Type | Organization |
Authorized Contact | CHRISTIAN S. BERDY Periodontist 904-389-1376 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
1223P0300X Dentist, Periodontics (Licence: FL 5959) | |
Enumeration Date | 2007-02-12 |
Last Update Date | 2022-07-29 |