James E Berg DDS Ms

NPI #1497083448 in Ypsilanti, Michigan

Provider Information

NPI Number: 1497083448
Entity Type: Organization
Organization Name: James E Berg DDS Ms
Primary Specialty: Dentist
Enumeration Date: Dec 3, 2009
Last Updated: Dec 3, 2009

Practice Location

Address: 1974 NORTH HURON RIVER DRIVE
Address 2: SUITE #200
City: Ypsilanti
State: Michigan
ZIP Code: 48197
Phone: (734) 482-4658

Authorized Official

Name: DR. JAMES EDWARD BERG, DDS MS
Title: DENTIST OWNER
Phone: (734) 482-4658

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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