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Individual

DR. DANIEL WALTER BERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1092 N STATE COLLEGE BLVD, ANAHEIM, CA 92806-2701
(714) 635-8671
(714) 635-9401
Mailing address
1092 N STATE COLLEGE BLVD, ANAHEIM, CA 92806-2701
(714) 635-8671
(714) 635-9401

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4870T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0048700
CA
Enumeration date
08/30/2006
Last updated
07/08/2007
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