Individual
DR. ROBERT PAUL BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1585 3RD ST, STE 6119A, FORT POLK, LA 71146
(337) 531-1997
(337) 531-6506
Mailing address
804 EAGLE DR, HOUMA, LA 70364-1922
(985) 876-1838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2427
LA
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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