Graylon Robert Berg
Graylon Robert Berg is a Student in an Organized Health Care Education/Training Program in Mission, Texas. Licensed in Texas. Registered with an NPI since 2023.
- Licensed in
- TX
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
Mission, TXNo coordinates on file. Search this address in Google Maps
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 39575 (TX) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1568155828 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 1, 2023 |
| Last updated in NPPES | June 15, 2023 |
| Certification date | June 15, 2023 |
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-
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-
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