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Individual

DR. ASHLEY FLECK BERGHUIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
190 GARDNER AVE, #4, BURLINGTON, WI 53105-2160
(262) 763-3012
(262) 763-3074
Mailing address
190 GARDNER AVE, #4, BURLINGTON, WI 53105-2160

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001084-15
WI

Other

Enumeration date
04/08/2015
Last updated
06/23/2015
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