Individual
ZACHARY RYAN BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5704 W 41ST ST, SIOUX FALLS, SD 57106-1011
(605) 361-9288
Mailing address
5704 W 41ST ST, SIOUX FALLS, SD 57106-1011
(605) 361-9288
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1395
SD
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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