Individual
DR. ILSE WERNER BERUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1937 CENTRAL BLVD, MELBOURNE, FL 32901-4205
(321) 723-0671
(321) 723-4454
Mailing address
1937 CENTRAL BLVD, MELBOURNE, FL 32901-4205
(321) 723-0671
(321) 723-4454
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN14259
FL
Other
Enumeration date
10/15/2006
Last updated
07/08/2007
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