Individual
DR. GARY EMANUEL HERBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1355 N COURTENAY PKWY, SUITE K TOWN SQUARE, MERRITT ISLAND, FL 32953-4401
(321) 459-0009
(321) 459-1181
Mailing address
1355 N COURTENAY PKWY, SUITE K TOWN SQUARE, MERRITT ISLAND, FL 32953-4401
(321) 459-0009
(321) 459-1181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08184
FL
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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