| Maureen Bergman Dmd Pa | |
|
3375 Burns Road Suite 209 Pbg FL 33410 | |
| (561) 691-1629 | |
| Not Available |
| Full Name | Maureen Bergman Dmd Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3375 Burns Road, Pbg, Florida |
| Authorized Official Name and Position | Maureen Renee Bergman (OWNER) |
| Authorized Official Contact | 5616911629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maureen Bergman Dmd Pa 3375 Burns Road Suite 209 Pbg FL 33410 Ph: (561) 691-1629 | Maureen Bergman Dmd Pa 3375 Burns Road Suite 209 Pbg FL 33410 Ph: (561) 691-1629 |
| NPI Number | 1780809145 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780809145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | FL13552 (Florida) | Primary |