Individual
DR. ANDY VON BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2828 INTERNATIONAL CIR STE 100, COLORADO SPRINGS, CO 80910-3127
(719) 632-5700
Mailing address
2828 INTERNATIONAL CIR STE 100, COLORADO SPRINGS, CO 80910-3127
(719) 632-5700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN.00204055
CO
1223G0001X
General Practice Dentistry
61741
KS
1223G0001X
General Practice Dentistry
Primary
DEN.00204055
CO
Other
Enumeration date
07/31/2019
Last updated
06/30/2024
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