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Individual

BRYAN WILLIAM BERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
800 E BROWARD BLVD STE 410, FT LAUDERDALE, FL 33301-2033
(954) 463-4794
(954) 763-9070
Mailing address
800 E BROWARD BLVD STE 410, FT LAUDERDALE, FL 33301-2033
(954) 463-4794
(954) 763-9070

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 9094
FL

Other

Enumeration date
05/21/2008
Last updated
05/21/2008
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