institution
Kenneth M. Berrin, Dds, Inc.
Customized Equipment (DME) in Poway, California
NPI 1790126621

Kenneth M. Berrin, Dds, Inc. is a Customized Equipment (DME) based in Poway, CA and is specialized in Customized Equipment. Kenneth M. Berrin, Dds, Inc. practices in Poway, CA. The NPI Number for Kenneth M. Berrin, Dds, Inc. is 1790126621 and holds a License No. 29775 (California).

The current practice location address for Kenneth M. Berrin, Dds, Inc. is 13132B Poway Rd, Poway, CA and can be reached out via phone at 858-486-2224 and via fax at 858-486-2317.

Location: 13132B Poway Rd, Poway, CA, 92064-4612
institution
Provider Profile Details
NPI Number
1790126621
Provider Name
Kenneth M. Berrin, Dds, Inc.
Credential
Provider Entity Type
Organization
Address
13132B Poway Rd, Poway, CA, 92064-4612
Phone Number
858-486-2224
Fax Number
858-486-2317
Provider Enumeration Date
07/08/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1255338190 01 CA NPI NUMBER
29775 01 CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
13132B Poway Rd
City
State
Zip
92064-4612
Phone Number
858-486-2224
Fax Number
858-486-2317
person
Provider Business Mailing Address Details
Address
13132B Poway Rd
City
State
Zip
92064-4612
Phone Number
858-486-2224
Fax Number
858-486-2317
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
29775 (California)
Definition
Definition to come...
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