Berry, Gladys Luisa
Berry, Gladys Luisa is an individual health care provider with primary practice located at 8788 Jamacha Rd , Spring Valley CA 91977-4035. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Berry, Gladys Luisa can be contacted via phone (619) 515-2555.Contact Information
Primary practice address
8788 Jamacha Rd
Spring Valley CA 91977-4035
Phone: (619) 515-2555
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | CA39969 | California |
Profile Details
NPI number | 1396846036 |
---|---|
LBN Legal business name | Berry, Gladys Luisa |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2006 |
Last updated | Jul 27th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396846036 | NPPES |
California | Other | G9329701 | DENTICAL |
California | Other | 1648856 | DENTICAL |
California | Other | G9844201 | DENTICAL |
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