Eric P Bergquam Dmd PC

NPI #1780763755 in Newberg, Oregon

Provider Information

NPI Number: 1780763755
Entity Type: Organization
Organization Name: Eric P Bergquam Dmd PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 2, 2006
Last Updated: Aug 22, 2020

Practice Location

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

Authorized Official

Name: ERIC P BERGQUAM, DMD
Title: PRESIDENT
Phone: (503) 538-5476

Specialties & Taxonomy Codes

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

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