Organization
ROSEMOUNT FAMILY DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE LEE BERGH DDS (PRESIDENT)
(651) 423-3993
Entity
Organization
Contact information
Practice address
14590 SOUTH ROBERT TRAIL, ROSEMOUNT, MN 55068-3195
(651) 423-3993
(651) 423-1417
Mailing address
14590 SOUTH ROBERT TRAIL, ROSEMOUNT, MN 55068-3195
(651) 423-3993
(651) 423-1417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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