Dr David Herman's Four Corners Dental, LLC

NPI #1558790378 in Farmington, New Mexico

Provider Information

NPI Number: 1558790378
Entity Type: Organization
Organization Name: Dr David Herman's Four Corners Dental, LLC
Primary Specialty: Dentist
Enumeration Date: Nov 2, 2013
Last Updated: Nov 2, 2013

Practice Location

Address: 3751 N BUTLER AVE STE 113
City: Farmington
State: New Mexico
ZIP Code: 87401-6425
Phone: (505) 564-9000

Authorized Official

Name: DR. DAVID J HERMAN, DDS, MS, MPH
Title: ORTHODONTIST
Phone: (505) 564-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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