Organization
CHARLES E. BERRY, III, D.M.D, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES EDWIN BERRY III DMD (DENTIST/PRESIDENT)
(702) 384-1210
Entity
Organization
Contact information
Practice address
3117 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1931
(702) 384-1210
Mailing address
3117 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1931
(702) 384-1210
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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