ROBERT JORDAN BERQUIST

WHITING, IN
NPI1619187507
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IN  12009702A)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
Dr. ROBERT JORDAN BERQUIST DDS
1444 119TH ST
WHITING, IN 46394-1760
Phone number: 219-659-1530
Mailing Address
Dr. ROBERT JORDAN BERQUIST DDS
1444 119TH ST
WHITING, IN 46394-1760
Phone number: 219-659-1530
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