Individual
DR. BASMA ABDEL AZIZ BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
25850 EUREKA RD, TAYLOR, MI 48180-4924
(734) 992-8688
Mailing address
14451 LANSON AVE, DEARBORN, MI 48126-3406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601683
MI
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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