Steven R Bergara D D S INC
Clinic/Center, Dental in Alhambra, CA. Organization (NPI-2).
NPI number1548089352
StatusActive
Last updated in NPPESOct 8, 2024
Details
- NPI
- 1548089352
- Entity type
- Organization (NPI-2)
- Legal business name
- Steven R Bergara D D S INC
- Organization subpart
- No
- Enumeration date
- Oct 8, 2024
- Certification date
- Oct 8, 2024
- Last updated
- Oct 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
330 S Garfield Ave Ste 216Alhambra, CA 91801-3896
Phone 626-289-1148 · Fax 626-289-8327
Mailing address
330 S Garfield Ave Ste 216Alhambra, CA 91801-3896
Phone 626-289-1148 · Fax 626-289-8327
Authorized official
Irma Valle-Gonzalez
Office Manager
6262891148
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