Individual
JUNIOR BERTHO VERTIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
57 E ECKERSON RD, SPRING VALLEY, NY 10977-3014
(845) 426-2569
Mailing address
142 HILLSIDE TER, IRVINGTON, NJ 07111-1514
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
054844-1
NY
122300000X
Dentist
Primary
22DI02375300
NJ
Other
Enumeration date
08/19/2008
Last updated
10/01/2010
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