DR. Mark Brady Herzog, D.M.D.
NPI #1740662246 in Issaquah, Washington
Provider Information
- NPI Number
- 1740662246
- Entity Type
- Individual
- Name
- DR. Mark Brady Herzog, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Jun 22, 2015
- Last Updated
- Jun 22, 2015
Practice Location
- Address
- 6520 226TH PL SE
- Address 2
- SUITE 200
- City
- Issaquah
- State
- Washington
- ZIP Code
- 98027-8969
- Phone
- (425) 392-1010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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