DR. Tyler Paul Bergien, DDS

NPI #1669683025 in Jackson, Wyoming

Provider Information

NPI Number
1669683025
Entity Type
Individual
Name
DR. Tyler Paul Bergien, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
May 25, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
945 W BROADWAY
Address 2
SUITE #201
State
Wyoming
ZIP Code
83001
Phone
(307) 734-5200

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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