| Brian Bergan Dentistry, Inc. | |
|
315 East Ave Red Wing MN 55066-2541 | |
| (651) 388-1147 | |
| (651) 388-1140 |
| Full Name | Brian Bergan Dentistry, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 315 East Ave, Red Wing, Minnesota |
| Authorized Official Name and Position | Pam J Germann (MANAGER) |
| Authorized Official Contact | 6513881147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Bergan Dentistry, Inc. 315 East Ave Red Wing MN 55066-2541 Ph: (651) 388-1147 | Brian Bergan Dentistry, Inc. 315 East Ave Red Wing MN 55066-2541 Ph: (651) 388-1147 |
| NPI Number | 1881604304 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881604304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11205 (Minnesota) | Primary |
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