Individual
MARK S BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
443 N NEW BALLAS RD, STE 244, ST LOUIS, MO 63141
(314) 991-1707
(314) 991-4608
Mailing address
443 N NEW BALLAS RD, STE 244, ST LOUIS, MO 63141
(314) 991-1707
(314) 991-4608
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
14352
MO
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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