Organization
MICHAEL W BERRY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WAYNE BERRY D.D.S. (DENTIST OWNER)
(660) 263-1133
Entity
Organization
Contact information
Practice address
110 E ROLLINS ST, MOBERLY, MO 65270-2269
(660) 263-1133
(660) 263-9181
Mailing address
110 E ROLLINS ST, P.O. BOX 517, MOBERLY, MO 65270-2269
(660) 263-1133
(660) 263-9181
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
014845
MO
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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