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Organization
DOROTHEA J BERRY DDS, INC
Active
Organization
DOROTHEA J BERRY DDS, INC
Active
Other names
SUNCOAST ORAL SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOROTHEA BERRY DDS (OMFS)
(562) 240-3054
Entity
Organization
Contact information
Practice address
2690 PACIFIC AVE STE 250, LONG BEACH, CA 90806-2663
(562) 240-3054
(562) 317-5260
Mailing address
2690 PACIFIC AVE STE 250, LONG BEACH, CA 90806-2663
(562) 240-3054
(562) 317-5260
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
52968
CA
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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