DR. Eric P Bergquam, DMD

NPI #1194035865 in Newberg, Oregon

Provider Information

NPI Number: 1194035865
Entity Type: Individual
Name: DR. Eric P Bergquam, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Oct 15, 2010
Last Updated: Oct 15, 2010

Practice Location

Address: 906 DEBORAH RD
City: Newberg
State: Oregon
ZIP Code: 97132
Phone: (503) 538-5476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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