Organization
DANIEL M. BERGERON, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL M BERGERON D.D.S. (OWNER - SOLE PROPRIETOR)
90745465600
Entity
Organization
Contact information
Practice address
3112 AIRPORT WAY STE 2, FAIRBANKS, AK 99709-4773
(907) 456-5600
(907) 451-6470
Mailing address
3112 AIRPORT WAY STE 2, FAIRBANKS, AK 99709-4773
(907) 456-5600
(907) 451-6470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AA 0819
AK
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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