DONALD JAY BERQUIST

CHICAGO, IL
NPI1699373829
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019032682)
Enumeration Date2020-10-10
Last Update Date2020-10-10
Business Address
Dr. DONALD JAY BERQUIST DMD
3009 E 92ND ST
CHICAGO, IL 60617-4598
Phone number: 773-295-2521
Mailing Address
Dr. DONALD JAY BERQUIST DMD
696 LONGFELLOW DR
TROY, MI 48085-4817
Phone number: 248-672-8903