Individual
DR. ROBERT T BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
400 MOBIL AVE STE C1, CAMARILLO, CA 93010-6377
(805) 482-7284
(805) 482-5196
Mailing address
400 MOBIL AVE STE C1, CAMARILLO, CA 93010-6377
(805) 482-7284
(805) 482-5196
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D21237
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B21237-01
DENTI-CAL
CA
Enumeration date
09/28/2007
Last updated
02/25/2014
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