KEITH R BERG

MEDFORD, OR
NPI1811021934
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OR  D4310)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
KEITH R BERG DMD
2936 E BARNETT RD
MEDFORD, OR 97504-8309
Phone number: 541-779-4517
Mailing Address
KEITH R BERG DMD
2936 E BARNETT RD
MEDFORD, OR 97504-8309
Phone number: 541-779-4517
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