DR. Brian Lee Bertholomey, DDS

NPI #1417063215 in Pulaski, Virginia

Provider Information

NPI Number: 1417063215
Entity Type: Individual
Name: DR. Brian Lee Bertholomey, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 65 EAST MAIN STREET
Address 2: SUITE C
City: Pulaski
State: Virginia
ZIP Code: 24301-5014
Phone: (540) 980-5202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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