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Individual
DR. ANDREW EVO BERTAGNA
Active
Individual
DR. ANDREW EVO BERTAGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019032240
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019032240
IL
Other
Enumeration date
06/17/2019
Last updated
06/23/2025
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