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Individual

DR. ROBERT J. HERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
141 FRANKLIN ST, STAMFORD, CT 06901-1014
(203) 969-0802
Mailing address
2060 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3552
(203) 330-9364
(203) 330-9064

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5319
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002053198
CT
Enumeration date
10/12/2005
Last updated
03/18/2024
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