DR. Robert Ellis Berry SR., DDS

NPI #1124046974 in Thomson, Georgia

Provider Information

NPI Number: 1124046974
Entity Type: Individual
Name: DR. Robert Ellis Berry SR., DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1025C WEST HILL ST
City: Thomson
State: Georgia
ZIP Code: 30824
Phone: (706) 595-5785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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