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1013234640
ALLISON BERGDOLL
FORT WAYNE, IN
NPI
1013234640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: IN 12011061A)
Enumeration Date
2010-04-21
Last Update Date
2010-04-21
Business Address
DR. ALLISON BERGDOLL DDS, MS
2121 E DUPONT RD SUITE D
FORT WAYNE, IN 46825-1546
Phone number: 260-490-3554
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Mailing Address
DR. ALLISON BERGDOLL DDS, MS
2121 E DUPONT RD SUITE D
FORT WAYNE, IN 46825-1546
Phone number: 260-490-3554
Copy
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