BRADLEY VERGIEN DDS, LLC

GALLUP, NM
NPI1417275165
Entity TypeOrganization
Authorized ContactBRADLEY VERGIEN
Owner
505-879-9191
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: NM  DD1926)
Enumeration Date2010-05-05
Last Update Date2010-05-05
Business Address
BRADLEY VERGIEN DDS, LLC
1421 US 491
GALLUP, NM 87301
Phone number: 505-863-8000
Mailing Address
BRADLEY VERGIEN DDS, LLC
1600 MILDA ST
GALLUP, NM 87301-6117
Phone number: 505-879-9191
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