Individual
DUANE LEE BERGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14590 SOUTH ROBERT TRAIL, ROSEMOUNT, MN 55068
(651) 423-3993
(651) 423-1417
Mailing address
641 ATLANTIC HILLS DR, EAGAN, MA 55123
(651) 454-2038
(651) 423-1417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8772
MN
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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