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Organization

DWIGHT L. BERRY DDS PA

Active
Other names
Dentcare
Organization subpart
No

Provider details

NPI number
Authorized official
DWIGHT LEON BERRY DDS (OWNER)
(410) 766-6540
Entity
Organization

Contact information

Practice address
420 CRAIN HWY S, SUITE 6, GLEN BURNIE, MD 21061-3657
(410) 766-6540
(410) 768-8049
Mailing address
420 CRAIN HWY S, SUITE 6, GLEN BURNIE, MD 21061-3657
(410) 766-6540
(410) 768-8049

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11639
MD

Other

Enumeration date
07/21/2011
Last updated
07/21/2011
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