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1114212461
DR TIMOTHY BERGER
FORT WAYNE, IN
NPI
1114212461
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Entity Type
Organization
Authorized Contact
TIMOTHY S BERGER
Owner
260-482-4202
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12008676)
Enumeration Date
2011-06-15
Last Update Date
2011-06-15
Business Address
DR TIMOTHY BERGER
1620 SAINT JOE RIVER DR
FORT WAYNE, IN 46805-1434
Phone number: 260-482-4202
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Mailing Address
DR TIMOTHY BERGER
1620 SAINT JOE RIVER DR
FORT WAYNE, IN 46805-1434
Phone number: 260-482-4202
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