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Organization
HERZOG COPPELL PC
Active
Organization
HERZOG COPPELL PC
Active
Other names
FLOSS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON FINCH HERZOG DDS (OWNER)
(469) 635-0100
Entity
Organization
Contact information
Practice address
143 S DENTON TAP RD, SUITE 200, COPPELL, TX 75019-3204
(469) 635-0100
(469) 635-0101
Mailing address
143 S DENTON TAP RD, SUITE 200, COPPELL, TX 75019-3204
(469) 635-0100
(469) 635-0101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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