DR. Criag R Bergquist, DDS

NPI #1093883274 in San Clemente, California

Provider Information

NPI Number: 1093883274
Entity Type: Individual
Name: DR. Criag R Bergquist, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Endodontics
Credential: DDS
Enumeration Date: Dec 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 665 CAMINO DE LOS MARES #204
City: San Clemente
State: California
ZIP Code: 92673
Phone: (949) 661-9680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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