Gary Robert Herron III
NPI #1700506821 in Fort Irwin, California
Provider Information
- NPI Number
- 1700506821
- Entity Type
- Individual
- Name
- Gary Robert Herron III
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 30, 2022
- Last Updated
- Sep 13, 2023
Practice Location
- Address
- 171 INNER LOOP ROAD
- City
- Fort Irwin
- State
- California
- ZIP Code
- 92310
- Phone
- (915) 742-2685
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - General Practice — General Practice |
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