Individual
DR. TAMARA SUE BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
910 S. YUKON PARKWAY, YUKON, OK 73099-1801
(405) 354-3763
(405) 354-4041
Mailing address
910 S. YUKON PARKWAY, YUKON, OK 73099-1801
(405) 354-3763
(405) 354-4041
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5212
OK
Other
Enumeration date
08/15/2005
Last updated
08/12/2011
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