Robert T. Bergman, Dds, Ms, Inc. | |
400 Mobil Ave C-1 Camarillo CA 93010-6338 | |
(805) 482-7284 | |
(805) 482-5196 |
Full Name | Robert T. Bergman, Dds, Ms, Inc. |
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Speciality | Clinic/center - Dental |
Location | 400 Mobil Ave, Camarillo, California |
Authorized Official Name and Position | Robert T Bergman (ORTHODONTIST) |
Authorized Official Contact | 8054827284 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Robert T. Bergman, Dds, Ms, Inc. 400 Mobil Ave C-1 Camarillo CA 93010-6338 Ph: (805) 482-7284 | Robert T. Bergman, Dds, Ms, Inc. 400 Mobil Ave C-1 Camarillo CA 93010-6338 Ph: (805) 482-7284 |
NPI Number | 1205011293 |
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Provider Enumeration Date | 01/08/2008 |
Last Update Date | 01/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205011293 | NPI | - | NPPES |
B21237-01 | Other | CA | MED-CAL PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D21237 (California) | Primary |
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