Individual
DR. KELLY A BERTELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
9598 PROTOTYPE CT, RENO, NV 89521-5916
(775) 852-8181
(775) 852-8199
Mailing address
9598 PROTOTYPE CT, RENO, NV 89521-5916
(775) 852-8181
(775) 852-8199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5049
NV
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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