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1023137122
SHANE DANIEL BERGO
FORT COLLINS, CO
NPI
1023137122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: CO 7256)
Enumeration Date
2007-03-28
Last Update Date
2007-08-08
Business Address
Dr. SHANE DANIEL BERGO d.d.s., m.s.d.
730 WHALERS WAY SUITE 300
FORT COLLINS, CO 80525-7585
Phone number: 970-229-1404
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Mailing Address
Dr. SHANE DANIEL BERGO d.d.s., m.s.d.
3744 S TIMBERLINE RD SUITE 101
FORT COLLINS, CO 80525-4333
Phone number: 970-229-1404
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