Organization
BERKELEYORINDA ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M.A. BERGER D.D.S. (OWNER/PARTNER)
(510) 848-1055
Entity
Organization
Contact information
Practice address
2522 DANA ST, SUITE 202, BERKELEY, CA 94704-2895
(510) 848-1055
(510) 848-9100
Mailing address
2522 DANA ST, SUITE 202, BERKELEY, CA 94704-2895
(510) 848-1055
(510) 848-9100
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
29890
CA
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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