DR. Jody B Herschenhorn-Dominick, DDS

NPI #1770669939 in Sacaton, Arizona

Provider Information

NPI Number: 1770669939
Entity Type: Individual
Name: DR. Jody B Herschenhorn-Dominick, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 31, 2006
Last Updated: Mar 8, 2012

Practice Location

Address: 483 W. SEED FARM RD.
City: Sacaton
State: Arizona
ZIP Code: 85147-0038
Phone: (602) 528-1200

Specialties & Taxonomy Codes

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

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