DR. Kenneth Moses Bero JR., DDS

NPI #1871723395 in West Bend, Wisconsin

Provider Information

NPI Number: 1871723395
Entity Type: Individual
Name: DR. Kenneth Moses Bero JR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 17, 2009
Last Updated: Jul 17, 2009

Practice Location

Address: 533 SOUTH MAIN ST.
Address 2: THE GENTLE DENTAL EMPORIUM LLC
City: West Bend
State: Wisconsin
ZIP Code: 53095
Phone: (262) 338-8704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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