Individual
DR. JASON OLAI BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
510 1ST AVE, TWO HARBORS, MN 55616-1504
(218) 340-7467
Mailing address
510 1ST AVE, TWO HARBORS, MN 55616-1504
(218) 340-7467
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12816
MN
Other
Enumeration date
06/02/2010
Last updated
07/25/2011
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