| NPI | 1689326175 |
|---|---|
| Doing Business As | DR. JAY BERGAMINI & ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | HILLARY THULL Credentialing Coordinator 217-540-8946 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |