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Individual

DR. ELLEN FRANCES BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
407 S CLAIRBORNE RD, SUITE 104, OLATHE, KS 66062-1857
(855) 886-6938
(913) 393-9934
Mailing address
407 S CLAIRBORNE RD, SUITE 104, OLATHE, KS 66062-1857
(855) 886-6938
(913) 393-9934

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019-025884
IL
1223D0001X
Public Health Dentistry
Primary
60532
KS

Other

Enumeration date
09/20/2005
Last updated
03/29/2013
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