Individual
DR. CHRISTOPHER W HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
605 E HOLLAND AVE STE 222, SPOKANE, WA 99218-1246
(509) 755-5437
(509) 755-0444
Mailing address
1502 E VANETTA LN, SPOKANE, WA 99217-5515
(509) 290-6031
(509) 755-0444
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10414
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5038195
—
WA
05
—
5038211
—
WA
Enumeration date
11/08/2006
Last updated
07/09/2007
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