Individual
CLIFFORD JENS BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4815 PAULSEN ST, SAVANNAH, GA 31405-4418
(912) 352-2324
Mailing address
6 TIDEWATER WAY, SAVANNAH, GA 31411-2128
(912) 352-2324
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
008114
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00044459A
—
GA
Enumeration date
07/28/2006
Last updated
07/09/2007
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