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1669840518
KENNETH RICHARD BERG
PORTLAND, OR
NPI
1669840518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D3208)
Enumeration Date
2015-09-09
Last Update Date
2015-09-09
Business Address
-- KENNETH RICHARD BERG DMD
3550 SW BOND AVE
PORTLAND, OR 97239-4507
Phone number: 503-688-6719
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Mailing Address
-- KENNETH RICHARD BERG DMD
3550 SW BOND AVE
PORTLAND, OR 97239-4507
Phone number: 503-688-6719
Copy
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