Individual
DR. ERIC SCOTT BJERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
13395 N MARANA MAIN ST, MARANA, AZ 85653-7008
(520) 616-6200
(520) 682-1087
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 818-3630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009034
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
930685
—
AZ
Enumeration date
08/03/2014
Last updated
07/22/2015
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