Organization
BRIAN BERGAN DENTISTRY, INC.
Active
Other names
Bergan Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAM J GERMANN (MANAGER)
(651) 388-1147
Entity
Organization
Contact information
Practice address
315 EAST AVE, RED WING, MN 55066-2541
(651) 388-1147
(651) 388-1140
Mailing address
315 EAST AVE, RED WING, MN 55066-2541
(651) 388-1147
(651) 388-1140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11205
MN
Other
Enumeration date
08/08/2006
Last updated
08/22/2020
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