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MR. STEVEN R BERGARA DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1417033176

Individual Registrant:
MR. STEVEN R BERGARA DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
330 S GARFIELD AVE #216 ALHAMBRA, CA 91801 US
Tel: 626-289-1148  Fax: 626-289-8327

Contact information for business:
330 S GARFIELD AVE #216 ALHAMBRA, CA 91801 US
Tel: 626-289-1148  Fax: 626-289-8327

Registration Information:
NPI: 1417033176
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA34929

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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