DR. Derek Robert Berquist, DMD

NPI #1255889788 in Crown Point, Indiana

Provider Information

NPI Number
1255889788
Entity Type
Individual
Name
DR. Derek Robert Berquist, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Sep 13, 2016
Last Updated
Sep 13, 2016

Practice Location

Address
11059 BROADWAY
Address 2
SUITE B
State
Indiana
ZIP Code
46307-8834
Phone
(219) 226-0544

Specialties & Taxonomy Codes

Specialty
Dentist

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