Individual
DR. CRIAG R BERGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
665 CAMINO DE LOS MARES #204, SAN CLEMENTE, CA 92673
(949) 661-9680
(949) 661-4872
Mailing address
665 CAMINO DE LOS MARES #204, SAN CLEMENTE, CA 92673
(949) 661-9680
(949) 661-4872
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
29913
CA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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