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1235289091
CHRISTOPHER ANTHONY BERG
PROVO, UT
NPI
1235289091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: UT 158760972)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
Mr. CHRISTOPHER ANTHONY BERG dds
1019 HILLSIDE DR
PROVO, UT 84604-6317
Phone number: 801-380-7801
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Mailing Address
Mr. CHRISTOPHER ANTHONY BERG dds
1019 HILLSIDE DR
PROVO, UT 84604
Phone number: 801-380-7801
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