Individual
DR. GARY WAYNE BERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
523 BROADWAY, SUITE 2, MONTICELLO, NY 12701
(845) 796-3368
(845) 796-4468
Mailing address
523 BROADWAY, SUITE 2, MONTICELLO, NY 12701
(845) 796-3368
(845) 796-4468
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
036696
NY
Other
Enumeration date
11/02/2006
Last updated
03/21/2014
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