Individual
BROOKE BERGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
600 RICHARDSON DR, BLDG 634, JBER, AK 99505-8310
(907) 284-2483
Mailing address
PO BOX 212745, ANCHORAGE, AK 99521-2745
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DENH2237
AK
124Q00000X
Dental Hygienist
Primary
H8434
MN
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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