Individual
DR. TYLER PAUL BERGIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
945 W BROADWAY, SUITE #201, JACKSON, WY 83001
(307) 734-5200
(307) 733-2922
Mailing address
945 W BROADWAY, SUITE 201,P O BOX 11779, JACKSON, WY 83001
(307) 734-5200
(307) 733-2922
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
#1004
WY
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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