Jordan Berry

NPI #1891145975 in Macon, Missouri

Provider Information

NPI Number
1891145975
Entity Type
Individual
Name
Jordan Berry
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dental Hygienist
Enumeration Date
Jun 20, 2016
Last Updated
Jun 20, 2016

Practice Location

Address
209 N MISSOURI ST
City
Macon
ZIP Code
63552-2151
Phone
(660) 395-5045

Specialties & Taxonomy Codes

Specialty
Dental Hygienist

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