DR. I Warren Hersch, D.M.D.

NPI #1164442695 in Port Orange, Florida

Provider Information

NPI Number: 1164442695
Entity Type: Individual
Name: DR. I Warren Hersch, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jul 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 823 DUNLAWTON AVE
Address 2: SUITE E
City: Port Orange
State: Florida
ZIP Code: 32127-4220
Phone: (386) 763-9413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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