Rebecca Herzog

NPI #1790218709 in Fort Knox, Kentucky

Provider Information

NPI Number
1790218709
Entity Type
Individual
Name
Rebecca Herzog
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dental Hygienist
Enumeration Date
Apr 6, 2017
Last Updated
Apr 6, 2017

Practice Location

Address
398 192ND ARMOR TANK BATTALION RD
Address 2
BLDG 1022 ROOM 231
ZIP Code
40121-5116
Phone
(502) 624-6158

Specialties & Taxonomy Codes

Specialty
Dental Hygienist

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