Bergquist, Criag R

Bergquist, Criag R is an individual health care provider with primary practice located at 665 Camino De Los Mares #204 , San Clemente CA 92673. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Bergquist, Criag R can be contacted via phone (949) 661-9680.

Contact Information

Primary practice address
665 Camino De Los Mares #204 San Clemente CA 92673
Phone: (949) 661-9680
Fax: (949) 661-4872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 29913 California

Profile Details

NPI number 1093883274
LBN Legal business name Bergquist, Criag R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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