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General NPI Number Information
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NPI Number | 1639270077
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Entity Type | Organization
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Legal Business Name | BERG LAWRENCE & WENG DDS LLC
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 16900 SCIENCE DR #115
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City | BOWIE
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State | MD
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Zip | 20715
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Country | US
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Telephone | 301-262-0242
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Fax | 301-262-8764
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Provider Business Mailing Address
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Address Line | 16900 SCIENCE DR #115
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City | BOWIE
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State | MD
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Zip | 20715
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Country | US
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Telephone | 301-262-0242
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Fax | 301-262-8764
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Authorized Official
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Title or Position | PARTNER
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Name | HOWARD BERG
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Credential | DDS
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Telephone | 301-262-0242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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