Individual
DR. ROBIN SIMON BERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1209 BONITA ST, GRANTS, NM 87020-2103
(505) 876-4034
Mailing address
1117 CAESAR DR, GALLUP, NM 87301-4974
(505) 863-6649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD 2004
NM
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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