Individual
DR. ALLISON BERGDOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
2121 E DUPONT RD, SUITE D, FORT WAYNE, IN 46825-1546
(260) 490-3554
Mailing address
2121 E DUPONT RD, SUITE D, FORT WAYNE, IN 46825-1546
(260) 490-3554
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12011061A
IN
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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