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Individual

DR. WILLIAM VICTOR BERGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
17425 23RD AVE N, PLYMOUTH, MN 55447-2271
(763) 476-7313
Mailing address
17425 23RD AVE N, PLYMOUTH, MN 55447-2271
(763) 476-7313

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001535
WI
122300000X
Dentist
D8157
MN

Other

Enumeration date
04/24/2006
Last updated
10/26/2012
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