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1649399007
BRENDON WILLIAM BERG
PASCAGOULA, MS
NPI
1649399007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 2918-95)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
Dr. BRENDON WILLIAM BERG DDS
3005 OLD MOBILE AVE
PASCAGOULA, MS 39581-3641
Phone number: 228-762-4801
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Mailing Address
Dr. BRENDON WILLIAM BERG DDS
3005 OLD MOBILE AVE
PASCAGOULA, MS 39581-3641
Phone number: 228-762-4801
Copy
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