# HERZOG OAKLAWN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FLOSS Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194963728
- **Authorized official:** MRS. STEPHANIE RUTH DRAKE MANAGMENT (MANAGMENT)
- **Authorized official phone:** (214) 978-0101

## Contact information

- **Practice address:** 4020 OAKLAWN, DALLAS, TX 75219
- **Practice address phone:** (214) 978-0101
- **Practice address fax:** (214) 978-0121
- **Mailing address:** 4020 OAKLAWN, DALLAS, TX 75219
- **Mailing address phone:** (214) 978-0101
- **Mailing address fax:** (214) 978-0121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 20239 | TX | Yes |
| 122300000X | Dentist | 26035 | TX | — |
| 122300000X | Dentist | 28956 | TX | — |
| 1223G0001X | General Practice Dentistry | — | — | — |

## Other

- **Enumeration date:** 02/04/2009
- **Last updated:** 07/02/2014