Individual
DR. JAMES ALLEN BERGLES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1560 BONFORTE BLVD, PUEBLO, CO 81001
(719) 544-5340
(719) 583-2206
Mailing address
1560 BONFORTE, PUEBLO, CO 81001
(719) 544-5340
(719) 583-2205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00625
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02006252
—
CO
Enumeration date
06/14/2006
Last updated
07/08/2007
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