Individual
RONALD CARL BERQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
829 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559-0528
(907) 543-6229
Mailing address
829 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559-0528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0327
CO
Other
Enumeration date
10/23/2006
Last updated
08/19/2008
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