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Individual

DR. ERIC LEE BERRY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1800 FORTINO BLVD, PUEBLO, CO 81008-1890
(719) 545-1400
(719) 545-5153
Mailing address
1800 FORTINO BLVD, PUEBLO, CO 81008-1890
(719) 545-1400
(719) 545-5153

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105682
CO

Other

Enumeration date
07/11/2005
Last updated
07/08/2007
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