DR. Michele Shoshana Bergen, D.M.D., M.D.

NPI #1215929286 in Greenwich, Connecticut

Provider Information

NPI Number
1215929286
Entity Type
Individual
Name
DR. Michele Shoshana Bergen, D.M.D., M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
D.M.D., M.D.
Enumeration Date
Aug 16, 2005
Last Updated
Aug 8, 2012

Practice Location

Address
49 LAKE AVE
ZIP Code
06830-4501
Phone
(203) 661-4231

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery
Oral & Maxillofacial Surgery

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Provider Name
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