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Organization

KENNETH W. BERGER, D.D.S., L.L.C.

Active
Other names
Kenneth W. Berger, DDS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH WAYNE BERGER DDS (MANAGING MEMBER)
(404) 351-5585
Entity
Organization

Contact information

Practice address
3330 CUMBERLAND BLVD, SUITE T-50, ATLANTA, GA 30339-5995
(404) 351-5585
(678) 241-5585
Mailing address
3330 CUMBERLAND BLVD, SUITE T-50, ATLANTA, GA 30339-5995
(404) 351-5585
(678) 241-5585

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11388
GA

Other

Enumeration date
01/22/2007
Last updated
08/22/2020
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