Organization
BERGMAN DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN JOHN BERGMAN DDS (OWNER)
(360) 693-9349
Entity
Organization
Contact information
Practice address
701 OFFICERS ROW, VANCOUVER, WA 98661
(360) 693-9349
(360) 695-2673
Mailing address
701 OFFICERS ROW, VANCOUVER, WA 98661
(360) 693-9349
(360) 695-2673
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8362
WA
122300000X
Dentist
Primary
8550
WA
Other
Enumeration date
08/24/2006
Last updated
08/22/2020
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