Individual
DR. GEOFFREY PAUL HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6657 N GLENWOOD ST, BOISE, ID 83714-1925
(208) 375-0572
Mailing address
6657 N GLENWOOD ST, BOISE, ID 83714-1925
(208) 375-0572
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4570
ID
Other
Enumeration date
09/22/2011
Last updated
07/12/2023
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