Matthew Douglas Berg, DDS Valid NPI

Individual provider · Dentist · New Brighton, MN

NPI

1679592141

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

D11937 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-18

Last updated

2008-05-20