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Organization
MID-VALLEY DENTAL ASSOCIATES
Active
Organization
MID-VALLEY DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY BERG (OWNER)
(541) 928-2301
Entity
Organization
Contact information
Practice address
2811 MAIN ST, PHILOMATH, OR 97370-9245
(541) 929-5227
Mailing address
2811 MAIN ST, PHILOMATH, OR 97370-9245
(541) 929-5227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10469
OR
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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