| NPI | 1881604304 |
|---|---|
| Doing Business As | BERGAN DENTAL |
| Entity Type | Organization |
| Authorized Contact | PAM J GERMANN Manager 651-388-1147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN 11205) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |