# HERZOG LAKEWOOD PC

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

## Provider details

- **NPI number:** 1619217908
- **Authorized official:** DR. CLINTON FINCH HERZOG DDS (OWNER)
- **Authorized official phone:** (214) 389-0100

## Contact information

- **Practice address:** 1920 ABRAMS PKWY, DALLAS, TX 75214-6218
- **Practice address phone:** (214) 389-0100
- **Practice address fax:** (214) 389-0101
- **Mailing address:** 1920 ABRAMS PKWY, DALLAS, TX 75214-6218
- **Mailing address phone:** (214) 389-0100
- **Mailing address fax:** (214) 389-0101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2013
- **Last updated:** 02/22/2013