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Individual
DR. ERIC JOHN BERGER
Active
Individual
DR. ERIC JOHN BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012781A
IN
1223D0004X
Dental Anesthesiology
12012781A
IN
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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