Individual
DR. NOAH PAUL BERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1670 BEAM AVE, MAPLEWOOD, MN 55109-1201
(651) 925-8400
Mailing address
5908 WOODDALE AVE, EDINA, MN 55424-1840
(612) 250-9406
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13053
MN
Other
Enumeration date
04/23/2012
Last updated
10/07/2014
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