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Dr Russell Berry Dds Pa Valid NPI

Organization · General Practice Dentistry · Forrest City, AR

NPI
1518079177
Type
Organization (Type 2)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
2380 (AR)
Enumerated
2006-08-31
Last updated
2020-08-22
Practice location
1220 N Division St
Forrest City, AR 72335-2307
(870) 633-4219

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