DR. Keith Robert Chertok, DDS

NPI #1427077973 in Berkeley, California

Provider Information

NPI Number: 1427077973
Entity Type: Individual
Name: DR. Keith Robert Chertok, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: DDS
Enumeration Date: Jul 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2620 ASHBY AVE STE 101
City: Berkeley
State: California
ZIP Code: 94705-2208
Phone: (510) 548-0150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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