Individual
DR. PAUL EUGENE BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6519 NICOLLET AVE S, #205, RICHFIELD, MN 55423-1669
(612) 861-7141
Mailing address
6519 NICOLLET AVE S, #205, RICHFIELD, MN 55423-1669
(612) 861-7141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9162
MN
Other
Enumeration date
01/03/2006
Last updated
06/11/2014
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