Individual
DR. MATTHEW DOUGLAS BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2193 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-5331
(651) 235-9227
Mailing address
2193 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-5331
(651) 235-9227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11937
MN
Other
Enumeration date
07/18/2006
Last updated
05/20/2008
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