Individual
REBECCA BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
877 E GANNON AVE STE 401, ZEBULON, NC 27597-9445
(919) 269-0103
Mailing address
3009 BAYNAM POND DR, WAKE FOREST, NC 27587-5469
(919) 384-6614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11668
NC
Other
Enumeration date
10/31/2013
Last updated
09/11/2024
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