Organization
MATTHEW D. BERG, D.D.S., P.A.
Active
Other names
Rice Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW DOUGLAS BERG D.D.S. (PRESIDENT)
(651) 235-9227
Entity
Organization
Contact information
Practice address
2193 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-5331
(651) 633-3116
Mailing address
2193 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-5331
(651) 633-3116
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D11937
MN
Other
Enumeration date
04/07/2008
Last updated
05/20/2008
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