Individual
DR. CODY PARKER BERTOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1600 SW ARCHER RD # D10-37, GAINESVILLE, FL 32610-0436
(352) 273-5440
(352) 273-5446
Mailing address
1600 SW ARCHER RD # D10-37, GAINESVILLE, FL 32610-0436
(352) 273-5440
(352) 273-5446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DRPM2189
FL
1223E0200X
Endodontics
Primary
DN25420
FL
Other
Enumeration date
06/30/2020
Last updated
06/09/2021
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