Individual
DR. EVAN LYLE BERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
301 E CITY AVE, SUTIE T2, BALA CYNWYD, PA 19004-1708
(610) 667-6666
Mailing address
401 ANDREW RD, MERION STATION, PA 19066-1327
(610) 667-1003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-024034-L
PA
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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