Organization
DR ERIC BERLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC BERLA DMD (DENTIST/OWNER)
(618) 337-7200
Entity
Organization
Contact information
Practice address
400 WATER ST, CAHOKIA, IL 62206-1602
(618) 337-7200
(618) 332-1223
Mailing address
400 WATER ST, CAHOKIA, IL 62206-1602
(618) 337-7200
(618) 332-1223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019015680
IL
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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