BETHANY ANN BERGSTAD

BROOK PARK, MN
NPI1487936480
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MN  H8918)
Enumeration Date2011-09-15
Last Update Date2011-09-15
Business Address
Miss BETHANY ANN BERGSTAD RDH
1619 MALLARD RD
BROOK PARK, MN 55007-4712
Phone number: 218-464-2962
Mailing Address
Miss BETHANY ANN BERGSTAD RDH
1619 MALLARD RD
BROOK PARK, MN 55007-4712
Phone number: 218-464-2962