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1487760054
BRYAN M BERGENS DDS PA
DAYTONA BEACH, FL
NPI
1487760054
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Entity Type
Organization
Authorized Contact
BRIDGET ROWBATHAM BERGENS
CEO
386-258-2213
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN13806)
Enumeration Date
2006-08-23
Last Update Date
2013-05-21
Business Address
BRYAN M BERGENS DDS PA
724 SOUTH BEACH STREET SUITE 4
DAYTONA BEACH, FL 32114
Phone number: 386-258-2213
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Mailing Address
BRYAN M BERGENS DDS PA
724 SOUTH BEACH STREET SUITE 4
DAYTONA BEACH, FL 32114
Phone number: 386-258-2213
Copy
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