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Graylon Robert Berg
General Practice Dentistry in Mission, Texas
NPI 1568155828

Graylon Robert Berg is a General Practice Dentistry based in Lehi, TX and is specialized in General Practice. Graylon Robert Berg practices in Mission, TX. The NPI Number for Graylon Robert Berg is 1568155828 and holds a License No. (Texas).

The current practice location address for Graylon Robert Berg is 117 E Griffin Pkwy, Mission, TX and can be reached out via phone at 956-413-7541.

Location: 117 E Griffin Pkwy, Mission, TX, 84043-3609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568155828
Provider Name
Graylon Robert Berg
Credential
Provider Entity Type
Individual
Gender
Male
Address
117 E Griffin Pkwy, Mission, TX, 84043-3609
Phone Number
956-413-7541
Fax Number
Provider Enumeration Date
06/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
117 E Griffin Pkwy
City
Mission
State
Texas
Zip
78572-2909
Phone Number
956-413-7541
Fax Number
person
Provider Business Mailing Address Details
Address
117 E Griffin Pkwy
City
Mission
State
Texas
Zip
78572-2909
Phone Number
956-413-7541
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
39575 (Texas)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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