Individual
DR. ELIZANGELA BERTOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
800 ROSE ST, D104, LEXINGTON, KY 40536-0297
(859) 257-1494
(859) 323-0066
Mailing address
800 ROSE ST, D104, LEXINGTON, KY 40536-0297
(859) 257-1494
(859) 323-0066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7807
KY
1223X2210X
Orofacial Pain Dentistry
7807
KY
Other
Enumeration date
11/13/2007
Last updated
10/18/2019
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