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Individual

JOSEPH TREVOR BERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2779 W 4000 S STE 101, ROY, UT 84067-9603
(801) 731-5528
Mailing address
2092 W PARKVIEW DR, SYRACUSE, UT 84075-9582

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13972606
UT

Other

Enumeration date
05/18/2024
Last updated
11/13/2024
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