Individual
DR. HUSSEIN BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
25850 EUREKA RD, TAYLOR, MI 48180-4924
(734) 992-8688
Mailing address
25850 EUREKA RD, TAYLOR, MI 48180-4924
(734) 992-8688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600186
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901600186
DELTA DENTAL
MI
05
—
2901600186
—
MI
Enumeration date
07/13/2019
Last updated
01/15/2020
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