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Individual

DR. DJUANA MATTHEWS BERUK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
217 HIGHWAY 82 E, GREENVILLE, MS 38701-5326
(662) 332-0683
Mailing address
511 CEDAR ST, GREENVILLE, MS 38701-5302
(662) 332-0683

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3322-04
MS
1223G0001X
General Practice Dentistry
3479
AR
1223G0001X
General Practice Dentistry
6746
KY
1223G0001X
General Practice Dentistry
6892
TN

Other

Enumeration date
07/30/2006
Last updated
07/08/2007
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