Organization
ANDREA M BERTOTTO, D.D.S., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA M BERTOTTO D.D.S. (PRESIDENT)
(715) 423-7160
Entity
Organization
Contact information
Practice address
1980 7TH ST S, WISCONSIN RAPIDS, WI 54494-6017
(715) 423-7160
(715) 424-7337
Mailing address
1980 7TH ST S, WISCONSIN RAPIDS, WI 54494-6017
(715) 423-7160
(715) 424-7337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6047-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6047-015
DENTISTRY
WI
Enumeration date
05/06/2014
Last updated
05/06/2014
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