Individual
INESE VIVIAN BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9730 THIRD AVE NE, STE 204, SEATTLE, WA 98115-2023
(206) 524-5700
(206) 524-0765
Mailing address
9730 THIRD AVE NE, STE 204, SEATTLE, WA 98115-2023
(206) 524-5700
(206) 524-0765
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5218
WA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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