Individual
DR. BROOKE ALANA BERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
255 S 17TH ST, SUITE 1806, PHILADELPHIA, PA 19103-6231
(215) 735-1131
Mailing address
255 S 17TH ST, SUITE 1806, PHILADELPHIA, PA 19103-6231
(215) 735-1131
(215) 735-9892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02617700
NJ
122300000X
Dentist
DN20704
FL
122300000X
Dentist
Primary
DS040305
PA
Other
Enumeration date
01/18/2016
Last updated
04/01/2017
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