Individual
JOHN ANDREW BERGLOFF
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1104 W CHERRY LN, MERIDIAN, ID 83642-1513
(208) 888-7889
Mailing address
1104 W CHERRY LN, MERIDIAN, ID 83642-1513
(208) 888-7889
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-3409
ID
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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