| L. Ruth Berry, Dmd, Pa | |
|
168 14th St Sw Suite A Largo FL 33770-6103 | |
| (727) 584-4235 | |
| (727) 584-3859 |
| Full Name | L. Ruth Berry, Dmd, Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 168 14th St Sw, Largo, Florida |
| Authorized Official Name and Position | Lillian Ruth Berry (PRESIDENT) |
| Authorized Official Contact | 7275844235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L. Ruth Berry, Dmd, Pa 168 14th St Sw Suite A Largo FL 33770-6103 Ph: (727) 584-4235 | L. Ruth Berry, Dmd, Pa 168 14th St Sw Suite A Largo FL 33770-6103 Ph: (727) 584-4235 |
| NPI Number | 1821000795 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821000795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN#9546 (Florida) | Primary |
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