DR. Daniel Jordan Berquist, DDS

NPI #1710310958 in Whiting, Indiana

Provider Information

NPI Number
1710310958
Entity Type
Individual
Name
DR. Daniel Jordan Berquist, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Aug 12, 2013
Last Updated
Aug 12, 2013

Practice Location

Address
1444 119TH ST
State
Indiana
ZIP Code
46394-1760
Phone
(219) 659-1530

Specialties & Taxonomy Codes

Specialty
Dentist

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