Organization
BERG DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA S BERG DDS (DENTIST)
(405) 354-3763
Entity
Organization
Contact information
Practice address
910 S. YUKON PARKWAY, YUKON, OK 73099-1801
(405) 354-3763
Mailing address
910 S. YUKON PARKWAY, YUKON, OK 73099-1801
(405) 354-3763
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5212
OK
Other
Enumeration date
05/22/2008
Last updated
08/12/2011
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