Ilse W. Berube, Dmd, PA

NPI #1598993321 in Melbourne, Florida

Provider Information

NPI Number: 1598993321
Entity Type: Organization
Organization Name: Ilse W. Berube, Dmd, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 1, 2009
Last Updated: Jul 1, 2009

Practice Location

Address: 1937 CENTRAL BLVD
City: Melbourne
State: Florida
ZIP Code: 32901-4205
Phone: (321) 723-0671

Authorized Official

Name: DR. ILSE WERNER BERUBE, DMD
Title: PRESIDENT
Phone: (321) 723-0671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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