Individual
DR. TANYA P BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
6900 ALDEN DR, CHEYENNE, WY 82005-2945
(307) 773-5624
Mailing address
6900 ALDEN DR, CHEYENNE, WY 82005-2945
(307) 773-5624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10240
CO
Other
Enumeration date
07/27/2010
Last updated
08/31/2022
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