Individual
DR. BRENDON WILLIAM BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3005 OLD MOBILE AVE, PASCAGOULA, MS 39581-3641
(228) 762-4801
(228) 762-4803
Mailing address
3005 OLD MOBILE AVE, PASCAGOULA, MS 39581-3641
(228) 762-4801
(228) 762-4803
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2918-95
MS
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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