MISS Bethany Ann Bergstad, RDH
NPI #1487936480 in Brook Park, Minnesota
Provider Information
- NPI Number
- 1487936480
- Entity Type
- Individual
- Name
- MISS Bethany Ann Bergstad, RDH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Hygienist
- Credential
- RDH
- Enumeration Date
- Sep 15, 2011
- Last Updated
- Sep 15, 2011
Practice Location
- Address
- 1619 MALLARD RD
- City
- Brook Park
- State
- Minnesota
- ZIP Code
- 55007-4712
- Phone
- (218) 464-2962
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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