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Individual
DR. ROBERT HERZOG JR.
Active
Individual
DR. ROBERT HERZOG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0464251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000460352001
BLUE SHIELD
NY
01
—
10058818
CDPHP
NY
Enumeration date
10/23/2006
Last updated
07/08/2007
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