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1174780274
VITALIY JACOB BERGER
BONITA, CA
NPI
1174780274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 51321)
Enumeration Date
2008-05-18
Last Update Date
2008-05-18
Business Address
Dr. VITALIY JACOB BERGER DDS
180 OTAY LAKES RD 204
BONITA, CA 91902-2443
Phone number: 619-479-2111
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Mailing Address
Dr. VITALIY JACOB BERGER DDS
180 OTAY LAKES RD 204
BONITA, CA 91902-2443
Phone number: 619-479-2111
Copy
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