Organization · NPI-2

Berger Dental, P. A.

Dentist, General Practice · Denton, TX

NPI number1417188699
StatusActive
Last updated in NPPESAug 5, 2009

Details

NPI
1417188699
Entity type
Organization (NPI-2)
Legal business name
Berger Dental, P. A.
Organization subpart
No
Enumeration date
Aug 5, 2009
Last updated
Aug 5, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice19353TXYes

Practice location

1010 N Elm St
Suite A
Denton, TX 76201-6905

Phone 940-566-1828 · Fax 940-566-3915

Mailing address

1010 N Elm St
Suite A
Denton, TX 76201-6905

Phone 940-566-1828 · Fax 940-566-3915

Authorized official

Shane Terryl Berger
President
9405661828

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