Individual
DR. BERTEL THORWALDSEN PERRY III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12 MAIN STREET, CANDOR, NY 13743-0071
(607) 659-4050
(607) 659-4644
Mailing address
PO BOX 71, CANDOR, NY 13743-0071
(607) 659-4050
(607) 659-4644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038858
NY
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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