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Individual

ALEXANDRA NICOLE BERGREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1740 ROBERT ST S STE 110, WEST SAINT PAUL, MN 55118-3771
(651) 347-1252
Mailing address
749 LINWOOD AVE, SAINT PAUL, MN 55105-3323
(445) 202-9521

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15203
MN

Other

Enumeration date
10/23/2024
Last updated
10/23/2024
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