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Individual

THOMAS P BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
13625 CALIFORNIA ST, SUITE 300, OMAHA, NE 68154-5304
(402) 933-8005
(402) 504-1338
Mailing address
13625 CALIFORNIA ST, SUITE 300, OMAHA, NE 68154-5304
(402) 933-8005
(402) 504-1338

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6521
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025440200
NE
Enumeration date
01/13/2010
Last updated
01/13/2010
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