DANIEL JORDAN BERQUIST

WHITING, IN
NPI1710310958
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IN  12012019A)
Enumeration Date2013-08-12
Last Update Date2013-08-12
Business Address
Dr. DANIEL JORDAN BERQUIST DDS
1444 119TH ST
WHITING, IN 46394-1760
Phone number: 219-659-1530
Mailing Address
Dr. DANIEL JORDAN BERQUIST DDS
1444 119TH ST
WHITING, IN 46394-1760
Phone number: 219-659-1530
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