DR. Mark A. Herzog, D.D.S, P.A.

NPI #1275595290 in Ellsworth, Kansas

Provider Information

NPI Number
1275595290
Entity Type
Individual
Name
DR. Mark A. Herzog, D.D.S, P.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S, P.A.
Enumeration Date
Apr 5, 2006
Last Updated
Jan 14, 2013

Practice Location

Address
804 E 8TH ST
State
Kansas
ZIP Code
67439-2535
Phone
(785) 472-5420

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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