Individual
DR. I WARREN HERSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
823 DUNLAWTON AVE, SUITE E, PORT ORANGE, FL 32127-4220
(386) 763-9413
(386) 763-5833
Mailing address
823 DUNLAWTON AVE, SUITE E, PORT ORANGE, FL 32127-4220
(386) 763-9413
(386) 763-5833
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8790
FL
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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