Individual
DR. JOHN O BERTAGNOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7280 BRADBURN BLVD, WESTMINSTER, CO 80030-5224
(303) 429-6222
Mailing address
7280 BRADBURN BLVD, WESTMINSTER, CO 80030-5224
(303) 429-6222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8128
CO
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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