Individual
MR. DONALD JAY BERGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
34812 US HWY 19 NORTH, PALM HARBOR, FL 34684
(727) 787-1226
Mailing address
PO BOX 270261, TAMPA, FL 33688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7980
IL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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