Todd J Berggren, DDS Valid NPI
Individual provider · General Practice Dentistry · Mill Creek, WA
- NPI
- 1780847129
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- DE00011190 (WA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2008-07-07
- Last updated
- 2008-07-07
Practice location
15421 Main St, Ste 101
Mill Creek, WA 98012-9002
(425) 316-8095