Katherine E Berry, RDH

NPI #1194834242 in Dulce, New Mexico

Provider Information

NPI Number: 1194834242
Entity Type: Individual
Name: Katherine E Berry, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Aug 30, 2006
Last Updated: Jun 3, 2008

Practice Location

Address: 12000 STONE LAKE RD
Address 2: JICARILLA APACHE HEALTH CARE FACILITY, IHS
City: Dulce
State: New Mexico
ZIP Code: 87528-0000
Phone: (575) 759-3291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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