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MR. STEVEN R BERGARA DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1417033176
Individual Registrant:MR. STEVEN R BERGARA DDS
Gender: M
Not Sole Proprietor
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
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
Tel: 626-289-1148 Fax: 626-289-8327
Registration Information:
NPI: 1417033176
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 34929 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
