Individual
BRIAN MICHAEL BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1901 S UNION AVE STE B5006, TACOMA, WA 98405-1805
(253) 572-3383
(253) 572-8712
Mailing address
1901 S UNION AVE STE B5006, TACOMA, WA 98405-1805
(253) 572-3383
(253) 572-8712
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8186
WA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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