Organization
HERZOG OAKLAWN PLLC
Active
Other names
FLOSS Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE RUTH DRAKE MANAGMENT (MANAGMENT)
(214) 978-0101
Entity
Organization
Contact information
Practice address
4020 OAKLAWN, DALLAS, TX 75219
(214) 978-0101
(214) 978-0121
Mailing address
4020 OAKLAWN, DALLAS, TX 75219
(214) 978-0101
(214) 978-0121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20239
TX
122300000X
Dentist
26035
TX
122300000X
Dentist
28956
TX
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
02/04/2009
Last updated
07/02/2014
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