MS. Alice Berg, RDH

NPI #1154771236 in Joint Base Lewis Mcchord, Washington

Provider Information

NPI Number: 1154771236
Entity Type: Individual
Name: MS. Alice Berg, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jun 20, 2016
Last Updated: Jun 20, 2016

Practice Location

Address: 527 BARNES BLVD
City: Joint Base Lewis Mcchord
State: Washington
ZIP Code: 98438-1304
Phone: (253) 982-5505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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