Individual
DR. TODD J BERGGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15421 MAIN ST, STE 101, MILL CREEK, WA 98012-9002
(425) 316-8095
(425) 316-9210
Mailing address
15421 MAIN ST, STE 101, MILL CREEK, WA 98012-9002
(425) 316-8095
(425) 316-9210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00011190
WA
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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