Individual
ANDREA BERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12904 CENTRAL AVE NE, BLAINE, MN 55434-4147
(763) 755-1330
Mailing address
86 WEDGEWOOD DR, MAHTOMEDI, MN 55115-1482
(651) 353-9878
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13896
MN
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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