Chertok, Keith Robert

Chertok, Keith Robert is an sole proprietor health care provider with primary practice located at 2620 Ashby Ave Ste 101 , Berkeley CA 94705-2208. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Chertok, Keith Robert can be contacted via phone (510) 548-0150.

Contact Information

Primary practice address
2620 Ashby Ave Ste 101 Berkeley CA 94705-2208
Fax: (510) 548-0156
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 38634 California

Profile Details

NPI number 1427077973
LBN Legal business name Chertok, Keith Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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