Individual
MS. BERYL SUE KASSOFF-CORREIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRDH
Contact information
Practice address
920 CLINT MOORE RD STE 138, BOCA RATON, FL 33487-2801
(561) 804-5600
Mailing address
920 CLINT MOORE RD STE 138, BOCA RATON, FL 33487-2801
(561) 804-5600
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH22926
FL
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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