Individual
MS. ALICE BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
527 BARNES BLVD, JOINT BASE LEWIS MCCHORD, WA 98438-1304
(253) 982-5505
Mailing address
PO BOX 39793, LAKEWOOD, WA 98496-3793
(831) 206-7040
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
13046
CA
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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