Individual
BRANDT BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 N 5TH ST, MARSHALLTOWN, IA 50158-5517
(641) 691-1306
Mailing address
404 N 5TH ST, MARSHALLTOWN, IA 50158-5517
(614) 691-1306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09409
IA
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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