RANDY J BERG

ST CLOUD, MN
NPI1194836957
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MN  8993)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Dr. RANDY J BERG DDS
1245 15TH ST N
ST CLOUD, MN 56303
Phone number: 320-253-5824
Mailing Address
Dr. RANDY J BERG DDS
MAIL CODE 21113A PO BOX 1309
MINNEAPOLIS, MN 55440-1309
Phone number: 952-883-5151
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