Individual
MILES BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
408 N PLATTE AVE, YORK, NE 68467-3575
(402) 366-1914
Mailing address
14 FAIRVIEW DR, YORK, NE 68467-3822
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7131
NE
Other
Enumeration date
07/05/2012
Last updated
02/02/2015
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