Individual
NABIL BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14350 W WARREN AVE, DEARBORN, MI 48126-1459
(313) 582-1919
(313) 582-0300
Mailing address
14350 W WARREN AVE, DEARBORN, MI 48126-1459
(313) 582-1919
(313) 582-0300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015159
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4773148
—
MI
Enumeration date
10/19/2006
Last updated
07/08/2007
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