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Individual

RENATA BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
385 W BROADWAY, BOSTON, MA 02127-2217
(617) 268-8242
(617) 268-1973
Mailing address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-1000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859926
MA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/01/2022
Last updated
09/22/2023
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