Bergen, Gail Theresa

Bergen, Gail Theresa is an individual health care provider with primary practice located at 427 9Th St , San Antonio TX 78215-1528. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Bergen, Gail Theresa can be contacted via phone (508) 968-6582.

Contact Information

Primary practice address
427 9Th St San Antonio TX 78215-1528
Phone: (508) 968-6582
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X DA10457 Massachusetts

Profile Details

NPI number 1023677614
LBN Legal business name Bergen, Gail Theresa
Credentials DA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2019
Last updated Jun 7th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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