| Berkeley Periodontics Llc | |
|
576 Springfield Ave Berkeley Heights NJ 07922-1055 | |
| (908) 464-5630 | |
| (908) 464-6297 |
| Full Name | Berkeley Periodontics Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 576 Springfield Ave, Berkeley Heights, New Jersey |
| Authorized Official Name and Position | Benjamin Maldonado (OWNER) |
| Authorized Official Contact | 9084645630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkeley Periodontics Llc 576 Springfield Ave Berkeley Heights NJ 07922-1055 Ph: (908) 464-5630 | Berkeley Periodontics Llc 576 Springfield Ave Berkeley Heights NJ 07922-1055 Ph: (908) 464-5630 |
| NPI Number | 1730392630 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730392630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DI19327 (New Jersey) | Primary |
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