| NPI | 1508448846 |
|---|---|
| Doing Business As | BERTHOUD DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KEITH WOLFENDEN Dentist 727-457-3418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2022-11-22 |