Individual
DR. PETER A BERGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1680 CHAMBERS ST, SUITE 204, EUGENE, OR 97402-3655
(541) 345-2042
(541) 345-4012
Mailing address
1680 CHAMBERS ST, SUITE 204, EUGENE, OR 97402-3655
(541) 345-2042
(541) 345-4012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
361779-9922
UT
1223G0001X
General Practice Dentistry
Primary
D9040
OR
Other
Enumeration date
04/30/2008
Last updated
10/30/2012
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