KELSEY ANN BERGERON
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1154914216- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1730 NIAGARA FALLS BLVD STE 300, TONAWANDA, NY, 141507531
- Phone
- (716) 831-2277
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Dentist
Primary License: NY #062750