Constance Van Dorp Berry, RDHAP
Dental Hygienist in Encinitas, CA. Individual provider (NPI-1).
NPI number1124372602
StatusActive
Last updated in NPPESNov 5, 2012
Details
- NPI
- 1124372602
- Entity type
- Individual (NPI-1)
- Name
- Ms. Constance Van Dorp Berry
- Credential
- RDHAP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 5, 2012
- Last updated
- Nov 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 239 | CA | Yes |
Practice location
199 Pacific View LnEncinitas, CA 92024-7725
Phone 909-568-8071
Mailing address
1540 W Flower Cir NPhoenix, AZ 85015-5836
Phone 909-568-8071
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