Individual
WILLIAM C HERZOG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10340 SE DIVISION, SUITE 1, PORTLAND, OR 97266
(503) 254-2068
(503) 252-5820
Mailing address
10340 SE DIVISION, SUITE 1, PORTLAND, OR 97266
(503) 254-2068
(503) 252-5820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4833
OR
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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