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DR. CHRISTIAN ANTHONY BARGMANN D.M.D.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1376753681
Individual Registrant:DR. CHRISTIAN ANTHONY BARGMANN D.M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
102 E CENTER ST SUITE #3 LE ROY, IL 61752-1900 US
Tel: 309-962-5080 Fax: --
Tel: 309-962-5080 Fax: --
Contact information for business:
27278 E 500 NORTH RD LE ROY, IL 61752-7585 US
Tel: 309-962-6068 Fax: --
Tel: 309-962-6068 Fax: --
Registration Information:
NPI: 1376753681
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | IL |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
