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RONALD CARL BERQUIST DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1629151014

Individual Registrant:
 RONALD CARL BERQUIST DDS
Gender: M
Sole Proprietor

Location and contact information for practice:
829 CHIEF EDDIE HOFFMAN HWY  BETHEL, AK 99559-0528 US
Tel: 907-543-6229  Fax: --

Contact information for business:
829 CHIEF EDDIE HOFFMAN HWY  BETHEL, AK 99559-0528 US
Tel: --  Fax: --

Registration Information:
NPI: 1629151014
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CO0327

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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