Organization
BRIDGE CITY DENTISTRY P.C.
Active
Other names
Dental Associates of Valley City P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARON LYN BERG D.D.S. (DENTIST)
(701) 845-4221
Entity
Organization
Contact information
Practice address
239 2ND AVE NW, VALLEY CITY, ND 58072-2909
(701) 845-4221
Mailing address
202 CENTRAL AVE S, VALLEY CITY, ND 58072-3325
(701) 845-4221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1996
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053510982
—
ND
05
—
1073681953
—
ND
Enumeration date
01/09/2008
Last updated
08/24/2020
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