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Individual

DR. BRENT EDWARD HERRIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
5901 ABERCORN ST, SAVANNAH, GA 31405-5509
(912) 355-5901
Mailing address
5901 ABERCORN ST, SAVANNAH, GA 31405-5509
(912) 355-5901

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN014185
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003104769A
GA
Enumeration date
05/18/2009
Last updated
08/24/2012
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