Graylon Robert Berg

NPI #1568155828 in Mission, Texas

Provider Information

NPI Number: 1568155828
Entity Type: Individual
Name: Graylon Robert Berg
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 1, 2023
Last Updated: Jun 15, 2023

Practice Location

Address: 117 E GRIFFIN PKWY
City: Mission
State: Texas
ZIP Code: 78572-2909
Phone: (956) 413-7541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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