Individual
DR. HILLARY ANNE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
109 MCKINLEY AVE, KELLOGG, ID 83837-2501
(208) 784-0545
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 325-2070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4943
ID
1223G0001X
General Practice Dentistry
D8301
OR
Other
Enumeration date
12/22/2006
Last updated
10/03/2022
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