Individual
DR. JAMES L. BERGHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
596 BALDWIN ST, JENISON, MI 49428-9756
(616) 457-0450
(616) 457-3199
Mailing address
596 BALDWIN ST, JENISON, MI 49428-9756
(616) 457-0450
(616) 457-3199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11529
MI
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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