Organization
MID VALLEY DENTAL OF BRIDGEPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY BERG DMD (OWNER/DENTIST)
(541) 928-2301
Entity
Organization
Contact information
Practice address
7110 SW HAZEL FERN ROAD, SUITE 240, TIGARD, OR 97224
(503) 431-3200
(503) 431-3210
Mailing address
2825 SW WILLETTA ST, ALBANY, OR 97321
(541) 928-2301
(541) 928-8493
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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