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Individual

DR. RICHARD DAVID BERTETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
3501 BEHRMAN PL, NEW ORLEANS, LA 70114-8201
(917) 226-6003
Mailing address
3501 BEHRMAN PL, NEW ORLEANS, LA 70114-8201
(917) 226-6003

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5549
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5549
LA STATE DENTAL LICENSE
LA
Enumeration date
09/07/2006
Last updated
02/26/2016
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