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Individual

BRANDON S HERRSCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
202 S 6TH ST, HENRYETTA, OK 74437-5002
(918) 652-4404
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7462
OK

Other

Enumeration date
06/01/2021
Last updated
06/01/2021
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