KYLE NATHANIEL BERRONG

BETHESDA, MD
NPI1609229103
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
(Licence: TN  10250)
Additional Taxonomies122300000X Dentist
(Licence: TN  10250)
Enumeration Date2016-07-20
Last Update Date2023-08-22
Business Address
Dr. KYLE NATHANIEL BERRONG DDS
8901 WISCONSIN AVE OMFS CLINIC BLDG 9, 2ND DECK RM 2505
BETHESDA, MD 20889-6122
Phone number: 301-295-4340
Mailing Address
Dr. KYLE NATHANIEL BERRONG DDS
1413 LINCOLNSHIRE DR
MARYVILLE, TN 37803-7702
Phone number: 865-773-9285