Kevin Berg, D.M.D.

NPI #1063966877 in Pasco, Washington

Provider Information

NPI Number: 1063966877
Entity Type: Individual
Name: Kevin Berg, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Aug 10, 2016
Last Updated: Aug 10, 2016

Practice Location

Address: 6525 BURDEN BLVD
City: Pasco
State: Washington
ZIP Code: 99301-9822
Phone: (509) 728-9460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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