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Organization

MID-VALLEY DENTAL OF PHILOMATH

Active
Other names
Mid-Valley Dental Arts
Organization subpart
No

Provider details

NPI number
Authorized official
GEOFFREY A BERG DMD (DENTIST/OWNER)
(541) 928-2301
Entity
Organization

Contact information

Practice address
2811 MAIN ST, PHILOMATH, OR 97370
(541) 929-5227
(541) 929-7649
Mailing address
2811 MAIN ST, PHILOMATH, OR 97370
(541) 929-5227
(541) 929-7649

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7915
OR

Other

Enumeration date
09/25/2006
Last updated
12/19/2016
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