Organization
DEANNA S. BERRY, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEANNA SUE BERRY I D.D.S. (PRESIDENT/DENTIST)
(405) 631-1352
Entity
Organization
Contact information
Practice address
901 SW 50TH ST, OKLAHOMA CITY, OK 73109-3801
(405) 631-1352
(405) 631-1417
Mailing address
901 SW 50TH ST, OKLAHOMA CITY, OK 73109-3801
(405) 631-1352
(405) 631-1417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5732
OK
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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