Individual
ULF AGUSTIN BERGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2319 POWDER SPRINGS RD SW, MARIETTA, GA 30064-4451
(770) 427-5500
Mailing address
2319 POWDER SPRINGS RD SW, MARIETTA, GA 30064-4451
(770) 427-5500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9224
GA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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