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Organization
MALCOLM R. BERG, DMD, LLC
Active
Organization
MALCOLM R. BERG, DMD, LLC
Active
Other names
Plum Creek Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALCOLM R. BERG DMD (OWNER)
(512) 398-5755
Entity
Organization
Contact information
Practice address
1711 S COLORADO ST STE D, LOCKHART, TX 78644-4616
(512) 398-5755
(512) 398-5799
Mailing address
1711 S COLORADO ST STE D, LOCKHART, TX 78644-4616
(512) 398-5755
(512) 398-5799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17463
TX
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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