Individual
DR. HERMAN SONNY SPERA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
703 CONKLIN RD, CONKLIN, NY 13748-0198
(607) 722-5464
(607) 754-9526
Mailing address
PO BOX 198, CONKLIN, NY 13748-0198
(607) 722-5464
(607) 754-9526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0422491
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01245014
—
NY
Enumeration date
07/31/2006
Last updated
07/09/2007
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