Search › New Mexico › 122300000X
Bradley Vergien, DDS
NPI 1790841765 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1421 Us 491
Gallup, NM 87301 - Phone
- (505) 863-8000
- Fax
- (505) 863-8700
- Organisation at this address
- Gallup Dental Group
Bradley Vergien Dds, LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
122300000X
122300000X - Licence states on file
- NM, AZ, UT, AK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico