MARISSA BERGTHOLD DDS
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1265920086- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS
- Status
- Active
Contact & Location
- Address
- 7701 W 119TH ST, OVERLAND PARK, KS, 662131103
- Phone
- (913) 529-5999
- Fax
- (913) 529-5995
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: KS #62193
Dentist, Oral and Maxillofacial Surgery
License: MO #2024026317