Organization
L. RUTH BERRY, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILLIAN RUTH BERRY D.M.D. (PRESIDENT)
(727) 584-4235
Entity
Organization
Contact information
Practice address
168 14TH ST SW, SUITE A, LARGO, FL 33770-6103
(727) 584-4235
(727) 584-3859
Mailing address
168 14TH ST SW, SUITE A, LARGO, FL 33770-6103
(727) 584-4235
(727) 584-3859
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN#9546
FL
Other
Enumeration date
08/12/2006
Last updated
08/22/2020
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