Organization
KENNETH M. BERRIN, DDS, INC.
Active
Other names
Community Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH MARK BERRIN DDS (DENTIST)
(858) 486-2224
Entity
Organization
Contact information
Practice address
13132B POWAY RD, POWAY, CA 92064-4612
(858) 486-2224
(858) 486-2317
Mailing address
13132B POWAY RD, POWAY, CA 92064-4612
(858) 486-2224
(858) 486-2317
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
29775
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255338190
NPI NUMBER
CA
01
—
29775
STATE LICENSE
CA
Enumeration date
07/08/2013
Last updated
07/08/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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