Individual
ADRIAN BERTULFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 S PRESTON RD, PROSPER, TX 75078-5143
(469) 459-0403
Mailing address
417 ADVENTUROUS SHIELD DR, LEWISVILLE, TX 75056-5409
(214) 425-8576
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36338
TX
1223G0001X
General Practice Dentistry
36338
TX
Other
Enumeration date
07/21/2020
Last updated
07/14/2022
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