| Edward J. Bertagnolli, Dds, Pc | |
|
7280 Bradburn Blvd. Westminster CO 80030 | |
| (303) 429-6222 | |
| (303) 429-7247 |
| Full Name | Edward J. Bertagnolli, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 7280 Bradburn Blvd., Westminster, Colorado |
| Authorized Official Name and Position | John O. Bertagnolli (DENTIST) |
| Authorized Official Contact | 3034296222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward J. Bertagnolli, Dds, Pc 7280 Bradburn Blvd. Westminster CO 80030 Ph: (303) 429-6222 | Edward J. Bertagnolli, Dds, Pc 7280 Bradburn Blvd. Westminster CO 80030 Ph: (303) 429-6222 |
| NPI Number | 1952708877 |
|---|---|
| Provider Enumeration Date | 11/20/2014 |
| Last Update Date | 11/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952708877 | NPI | - | NPPES |
| 51424215 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | HDL00161 (Colorado) | Primary |
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