Organization
BERRY CHILDREN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHEE BERRY DDS (DOCTOR)
(301) 333-2282
Entity
Organization
Contact information
Practice address
10208 LAKE ARBOR WAY, MITCHELLVILLE, MD 20721-3113
(301) 333-2282
(301) 333-2286
Mailing address
10208 LAKE ARBOR WAY, MITCHELLVILLE, MD 20721-3113
(301) 333-2282
(301) 333-2286
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350600200
—
MD
Enumeration date
02/25/2010
Last updated
02/25/2010
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