Organization
THOMAS W HERFORT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WAYNE HERFORT DMD (PRESIDENT DENTIST)
(906) 932-1337
Entity
Organization
Contact information
Practice address
204 N HARRISON ST, WOODLANDS PROFESSIONAL BUILDING, IRONWOOD, MI 49938-1714
(906) 932-1332
(906) 932-4337
Mailing address
204 N HARRISON STREET, WOODLANDS PROFESSIONAL BUILDING, IRONWOOD, MI 49938-1714
(906) 932-1332
(906) 932-4337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901012289
MI
Other
Enumeration date
01/03/2006
Last updated
08/22/2020
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