Individual
DR. BRANDON S BERGUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
514 28 RD, GRAND JUNCTION, CO 81501-6555
(970) 241-3483
Mailing address
880 QUAIL RUN DR, GRAND JUNCTION, CO 81505-8608
(970) 242-2003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105656
CO
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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