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Organization
MATTHEW D. BERG, D.D.S., P.A.
Active
Organization
MATTHEW D. BERG, D.D.S., P.A.
Active
Other names
Rice Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW DOUGLAS BERG D.D.S. (PRESIDENT)
(651) 235-9227
Entity
Organization
Contact information
Practice address
2193 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-5331
(651) 633-3116
Mailing address
2193 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-5331
(651) 633-3116
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D11937
MN
Other
Enumeration date
04/07/2008
Last updated
05/20/2008
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