Individual
MS. MADISON LYNN BERGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DH
Contact information
Practice address
516 W 11TH ST STE 108B, KEARNEY, NE 68845-7310
(308) 233-3100
Mailing address
438 YATES AVE, MINDEN, NE 68959-1548
(308) 293-1768
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3222
NE
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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