Individual
JOEL HOWARD BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1959 NE PACIFIC ST, B242, SEATTLE, WA 98195-7136
(206) 543-4885
(206) 616-7470
Mailing address
BOX 357136, 1959 NE PACIFIC ST B242, SEATTLE, WA 98195-7136
(206) 543-4885
(206) 616-7470
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00008754
WA
1223P0221X
Pediatric Dentistry
DS029281R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5041066
—
WA
Enumeration date
12/14/2006
Last updated
07/08/2007
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