Audra Dee Bergquist, DDS
NPI #1932940764 in Chillicothe, Missouri
Provider Information
- NPI Number
- 1932940764
- Entity Type
- Individual
- Name
- Audra Dee Bergquist, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 5, 2024
- Last Updated
- Jun 5, 2024
Practice Location
- Address
- 850 FAIRWAY DR
- City
- Chillicothe
- State
- Missouri
- ZIP Code
- 64601-3673
- Phone
- (660) 646-3802
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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