| NPI | 1427102318 |
|---|---|
| Doing Business As | KENNETH W. BERGER, DDS |
| Entity Type | Organization |
| Authorized Contact | KENNETH WAYNE BERGER Managing Member 404-351-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 11388) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |