KENNETH RICHARD BERG

PORTLAND, OR
NPI1669840518
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D3208)
Enumeration Date2015-09-09
Last Update Date2015-09-09
Business Address
-- KENNETH RICHARD BERG DMD
3550 SW BOND AVE
PORTLAND, OR 97239-4507
Phone number: 503-688-6719
Mailing Address
-- KENNETH RICHARD BERG DMD
3550 SW BOND AVE
PORTLAND, OR 97239-4507
Phone number: 503-688-6719
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