Individual
DR. MICHEL LAURENTIUS VAN BERGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
450 SUTTER ST, SUITE 1932, SAN FRANCISCO, CA 94108-4206
(415) 986-7655
(415) 986-6967
Mailing address
450 SUTTER ST, SUITE 1932, SAN FRANCISCO, CA 94108-4206
(415) 986-7655
(415) 986-6967
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30874
CA
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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