MRS. Marie Rebecca Joanne Bergevin, RDH

NPI #1114061116 in Malone, New York

Provider Information

NPI Number: 1114061116
Entity Type: Individual
Name: MRS. Marie Rebecca Joanne Bergevin, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Feb 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 200 MEEHAN ROAD
City: Malone
State: New York
ZIP Code: 12953
Phone: (518) 483-0198

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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