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Organization
HERZOG OAKLAWN PLLC
Active
Organization
HERZOG OAKLAWN PLLC
Active
Other names
FLOSS Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE RUTH DRAKE MANAGMENT (MANAGMENT)
(214) 978-0101
Entity
Organization
Contact information
Practice address
4020 OAKLAWN, DALLAS, TX 75219
(214) 978-0101
(214) 978-0121
Mailing address
4020 OAKLAWN, DALLAS, TX 75219
(214) 978-0101
(214) 978-0121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20239
TX
122300000X
Dentist
26035
TX
122300000X
Dentist
28956
TX
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
02/04/2009
Last updated
07/02/2014
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