DAVID EDWARD BERTAGNA

CHICAGO, IL
NPI1912950791
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019-020864)
Enumeration Date2006-05-19
Last Update Date2007-07-08
Business Address
-- DAVID EDWARD BERTAGNA DDS
4020 N CENTRAL AVE
CHICAGO, IL 60634-1832
Phone number: 773-736-1406
Mailing Address
-- DAVID EDWARD BERTAGNA DDS
4020 N CENTRAL AVE
CHICAGO, IL 60634-1832
Phone number: 773-736-1406