| NPI | 1841459310 |
|---|---|
| Other Name | MALCOLM R. BERG, DMD |
| Entity Type | Organization |
| Authorized Contact | MALCOLM R. BERG Dentist 210-337-6834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 17463) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |