Individual
DR. ALESIA BERGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15200 SHADY GROVE RD, ROCKVILLE, MD 20850-3218
(301) 926-4408
Mailing address
5907 FENWICK AVE, BALTIMORE, MD 21239-2407
(410) 428-1201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14963
MD
Other
Enumeration date
07/13/2011
Last updated
02/06/2013
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