R.a. Berquist, D.d.s., P.c.

NPI #1598063885 in Flossmoor, Illinois

Provider Information

NPI Number: 1598063885
Entity Type: Organization
Organization Name: R.a. Berquist, D.d.s., P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 10, 2011
Last Updated: Mar 10, 2011

Practice Location

Address: 19710 GOVERNORS HWY
Address 2: SUITE #4
City: Flossmoor
State: Illinois
ZIP Code: 60422-2080
Phone: (708) 799-4488

Authorized Official

Name: DR. ROBERT ALLEN BERQUIST, D.D.S.
Title: OWNER/DENTIST
Phone: (708) 799-4488

Specialties & Taxonomy Codes

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

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