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Individual

DR. DOROTHEA BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2690 PACIFIC AVE STE 250, LONG BEACH, CA 90806-2663
(855) 413-5009
(562) 317-5260
Mailing address
2690 PACIFIC AVE STE 250, LONG BEACH, CA 90806-2663
(855) 413-5009
(562) 317-5260

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
52968
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
52968
CA

Other

Enumeration date
12/09/2006
Last updated
02/08/2019
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