Individual
DR. RICHARD GRANT BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2801 FAIRVIEW PL STE U, GREENWOOD, IN 46142-1339
(317) 881-1680
Mailing address
2801 FAIRVIEW PL STE U, GREENWOOD, IN 46142-1339
(317) 881-1680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013789A
IN
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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