New Mexico
Regulation & Licensing Department
Brandon Matthew Bergman, DA
Dental Assistant
License number
DA2609
Date granted
02/27/2004
Date expires
06/30/2007
Class
Dental Assistant
Status
Revoked
Address
Albuquerque, NM, 87111
licensingnm.com
ID 4320347
LAST UPDATED 2026-04-27 00:50:05 UTC
LAST UPDATED 2026-04-27 00:50:05 UTC
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