Organization
IRVINE PEDIATRIC DENTISTRY & ORTHODONTICS
Active
Other names
IPDO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BERGEMAN HAAG D.D.S. (PARTNER)
(949) 559-0674
Entity
Organization
Contact information
Practice address
4902 IRVINE CENTER DR, SUITE 111, IRVINE, CA 92604-3305
(949) 559-0674
(949) 559-7909
Mailing address
4902 IRVINE CENTER DR, SUITE 111, IRVINE, CA 92604-3305
(949) 559-0674
(949) 559-7909
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
15673
CA
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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