DR. Daniel Michael Bergeron, DDS

NPI #1083789804 in Fairbanks, Alaska

Provider Information

NPI Number: 1083789804
Entity Type: Individual
Name: DR. Daniel Michael Bergeron, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3112 AIRPORT WAY
Address 2: SUITE 2
City: Fairbanks
State: Alaska
ZIP Code: 99709-4754
Phone: (907) 456-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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