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Organization
HIGHLAND FAMILY DENTISTRY
Active
Organization
HIGHLAND FAMILY DENTISTRY
Active
Other names
Malcolm R. Berg, DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALCOLM R. BERG (DENTIST)
(210) 337-6834
Entity
Organization
Contact information
Practice address
3630 SE MILITARY DR, SAN ANTONIO, TX 78223-4050
(210) 337-6834
Mailing address
3601 LEADVILLE DR, AUSTIN, TX 78749-6938
(512) 965-0663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17463
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094708-03
—
TX
05
—
164291001
—
TX
Enumeration date
06/09/2008
Last updated
06/09/2008
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