Individual
DR. KENNETH WAYNE BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3330 CUMBERLAND BLVD, SUITE T-50, ATLANTA, GA 30339-5995
(404) 351-5585
(678) 241-5585
Mailing address
3330 CUMBERLAND BLVD, SUITE T-50, ATLANTA, GA 30339-5995
(404) 351-5585
(678) 241-5585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11388
GA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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