Brandt Bergman

NPI #1467982686 in Marshalltown, Iowa

Provider Information

NPI Number: 1467982686
Entity Type: Individual
Name: Brandt Bergman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 20, 2017
Last Updated: Jun 20, 2017

Practice Location

Address: 404 N 5TH ST
City: Marshalltown
State: Iowa
ZIP Code: 50158-5517
Phone: (641) 691-1306

Specialties & Taxonomy Codes

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

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