Individual
TAMARA SUE BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
STATE ROUTE 1014, TORRANCE STATE HOSPITAL, TORRANCE, PA 15779
(724) 459-8000
(724) 459-4465
Mailing address
171 VOUGHT RD, SOMERSET, PA 15501-4432
(814) 443-6490
(724) 459-4465
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH007784L
PA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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