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Individual
JAMES E BERTZ
Active
Individual
JAMES E BERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MD,FACS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2656
AZ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
12096
AZ
Other
Enumeration date
08/30/2005
Last updated
11/09/2017
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