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Clinton Thomas Berryman, DDS Valid NPI

Individual provider · Dentist · Oelwein, IA

NPI
1487741336
Type
Individual (Type 1)
Primary specialty
Dentist
Specialty group
Dental Providers
Taxonomy code
122300000X
License number
08422 (IA)
Sex
Male
Sole proprietor
Yes
Enumerated
2006-10-10
Last updated
2012-12-19
Practice location
216 E Charles St
Oelwein, IA 50662-1940
(319) 283-4981

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