Jeff Bertheola, DDS
NPI #1679194906 in Fort Bragg, California
Provider Information
- NPI Number
- 1679194906
- Entity Type
- Individual
- Name
- Jeff Bertheola, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 27, 2020
- Last Updated
- Apr 27, 2020
Practice Location
- Address
- 825 SEQUOIA CIR
- City
- Fort Bragg
- State
- California
- ZIP Code
- 95437-5422
- Phone
- (707) 964-0242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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