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1366636540
MATTHEW BERGMAN
PRESCOTT VALLEY, AZ
NPI
1366636540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AZ D5843)
Enumeration Date
2007-08-30
Last Update Date
2007-08-30
Business Address
-- MATTHEW BERGMAN
8154 E FLORENTINE RD STE B
PRESCOTT VALLEY, AZ 86314-8487
Phone number: 928-772-8175
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Mailing Address
-- MATTHEW BERGMAN
8154 E FLORENTINE RD STE B
PRESCOTT VALLEY, AZ 86314-8487
Phone number:
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