Organization
BERRO DENTAL GROUP
Active
Other names
Kennedy Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABBAS HUSSEIN BERRO DDS (DENTIST/PRESIDENT)
(313) 388-1800
Entity
Organization
Contact information
Practice address
1193 SOUTHFIELD RD, LINCOLN PARK, MI 48146-2450
(313) 388-1800
(313) 388-5527
Mailing address
1193 SOUTHFIELD RD, LINCOLN PARK, MI 48146-2450
(313) 388-1800
(313) 388-5527
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901019129
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4979625
—
MI
Enumeration date
09/22/2008
Last updated
09/22/2008
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