Individual
DR. DAVID WILSON BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4205 RICHARDSON RD, INDEPENDENCE, KY 41051-8721
(859) 371-7000
(859) 371-7519
Mailing address
4205 RICHARDSON RD, INDEPENDENCE, KY 41051-8721
(859) 371-7000
(859) 371-7519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4869
KY
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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