Individual
DR. BRIAN LEE BERTHOLOMEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
65 EAST MAIN STREET, SUITE C, PULASKI, VA 24301-5014
(540) 980-5202
(540) 980-6764
Mailing address
PO BOX 2156, 65 EAST MAIN STREET SUITE C, PULASKI, VA 24301-5014
(540) 980-5202
(540) 980-6764
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006576
VA
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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