Individual
DR. DOMINIQUE ERICA BERTUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
737 N MICHIGAN AVE STE 1330, CHICAGO, IL 60611-5401
(312) 266-8198
Mailing address
3349 S PARNELL AVE, CHICAGO, IL 60616-3517
(312) 607-1029
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019.034933
IL
Other
Enumeration date
08/01/2022
Last updated
04/22/2025
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