Jay J Berger | |
1601 E Lincoln Ave Ste 1601 Orange CA 92865-1957 | |
(714) 685-7999 | |
(714) 685-8869 |
Full Name | Jay J Berger |
---|---|
Speciality | Dentist - General Practice |
Location | 1601 E Lincoln Ave Ste 1601, Orange, California |
Authorized Official Name and Position | Diane Swope (OFFICE MANAGER) |
Authorized Official Contact | 7146857999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jay J Berger 1601 E Lincoln Ave Ste 1601 Orange CA 92865-1957 Ph: (714) 685-7999 | Jay J Berger 1601 E Lincoln Ave Ste 1601 Orange CA 92865-1957 Ph: (714) 685-7999 |
NPI Number | 1659710960 |
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Provider Enumeration Date | 06/19/2013 |
Last Update Date | 06/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659710960 | NPI | - | NPPES |
G-91841-01 | Other | CA | DENTI-CAL BILLING PROVIDER NUMBER |
524389 | Other | CA | DENTI-CAL PIN |
1952506768 | Other | CA | DENTI-CAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 46244 (California) | Primary |
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