Individual provider · NPI-1

Dr. Marcie Lynn Berger, DMD

Dentist · Palm Beach Gardens, FL

NPI number1073704482
StatusActive
Last updated in NPPESJun 18, 2008

Details

NPI
1073704482
Entity type
Individual (NPI-1)
Name
Dr. Marcie Lynn Berger
Credential
DMD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 9, 2007
Last updated
Jun 18, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDN16663FLYes
1223P0221X Dentist, Pediatric Dentistry052964NY

Practice location

200 Village Square Xing
Suite 101
Palm Beach Gardens, FL 33410-3224

Phone 561-626-9887 · Fax 561-627-4451

Mailing address

200 Village Square Crossing
Suite 101
Palm Beach Gardens, FL 33410-0122

Phone 561-626-9887 · Fax 561-627-4451

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