Individual
DR. ZACHARY BERGEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2021 SE SEDGWICK RD, SUITE #3, PORT ORCHARD, WA 98366-9502
(253) 592-3568
Mailing address
PO BOX 818, PORT ORCHARD, WA 98366-0818
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE 60105851
WA
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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