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1538177654
DANIEL EDWARD BERGMAN
BALLWIN, MO
NPI
1538177654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 2005018472)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
-- DANIEL EDWARD BERGMAN DDS
980 KEHRS MILL RD
BALLWIN, MO 63011-2402
Phone number: 636-230-7557
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Mailing Address
-- DANIEL EDWARD BERGMAN DDS
980 KEHRS MILL RD
BALLWIN, MO 63011-2402
Phone number: 636-230-7557
Copy
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