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1063966877
KEVIN BERG
PASCO, WA
NPI
1063966877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WA DE60673881)
Enumeration Date
2016-08-10
Last Update Date
2016-08-10
Business Address
-- KEVIN BERG D.M.D.
6525 BURDEN BLVD
PASCO, WA 99301-9822
Phone number: 509-728-9460
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Mailing Address
-- KEVIN BERG D.M.D.
6525 BURDEN BLVD
PASCO, WA 99301-9822
Phone number: 509-728-9460
Copy
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