Individual
DR. MADISON NICOLE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9420 WATSON RD, SAINT LOUIS, MO 63126-1529
(314) 843-0500
Mailing address
212 S MERAMEC AVE APT 2104, SAINT LOUIS, MO 63105-3579
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2023025477
MO
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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