DR. Gerald Lee Hirsch, D.D.S.

NPI #1154491959 in Carpentersville, Illinois

Provider Information

NPI Number: 1154491959
Entity Type: Individual
Name: DR. Gerald Lee Hirsch, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Nov 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 96 N KENNEDY DR STE 205
City: Carpentersville
State: Illinois
ZIP Code: 60110-1674
Phone: (847) 426-3402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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