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Individual
DR. MICHELLE NICOLE BERRY
Active
Individual
DR. MICHELLE NICOLE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4551
ME
124Q00000X
Dental Hygienist
LAN458
ME
124Q00000X
Dental Hygienist
NOX790
ME
124Q00000X
Dental Hygienist
RDH3596
ME
Other
Enumeration date
05/20/2009
Last updated
06/13/2022
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