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1639800808
SAMANTHA YEVGENYEVNA BERGERON
SAN DIEGO, CA
NPI
1639800808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 109297)
Enumeration Date
2022-06-20
Last Update Date
2023-11-21
Business Address
SAMANTHA YEVGENYEVNA BERGERON DDS
4142 ADAMS AVE STE 104
SAN DIEGO, CA 92116-2594
Phone number: 619-326-0157
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Mailing Address
SAMANTHA YEVGENYEVNA BERGERON DDS
11212 MORNING CREEK DR S
SAN DIEGO, CA 92128-4050
Phone number: 910-232-8503
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