Organization
BRYAN M BERGENS DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIDGET ROWBATHAM BERGENS (CEO)
(386) 258-2213
Entity
Organization
Contact information
Practice address
724 SOUTH BEACH STREET, SUITE 4, DAYTONA BEACH, FL 32114
(386) 258-2213
(386) 253-7943
Mailing address
724 SOUTH BEACH STREET, SUITE 4, DAYTONA BEACH, FL 32114
(386) 258-2213
(386) 253-7943
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13806
FL
Other
Enumeration date
08/23/2006
Last updated
05/21/2013
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