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Individual

RHETT ALLEN BERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 543-2500
Mailing address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 543-2500

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D14477
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14766
CT

Other

Enumeration date
04/12/2019
Last updated
06/02/2026
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