DEREK ROBERT BERQUIST

CROWN POINT, IN
NPI1255889788
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12012546A)
Enumeration Date2016-09-13
Last Update Date2016-09-13
Business Address
Dr. DEREK ROBERT BERQUIST DMD
11059 BROADWAY SUITE B
CROWN POINT, IN 46307-8834
Phone number: 219-226-0544
Mailing Address
Dr. DEREK ROBERT BERQUIST DMD
9044 BUNKER HILL DR
MUNSTER, IN 46321-3203
Phone number: 219-765-7468
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