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Individual

KARIN HERZOG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(917) 669-1864
Mailing address
1 COLUMBUS PL APT N38E, NEW YORK, NY 10019-8234

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
0577991
NY
1223P0221X
Pediatric Dentistry
Primary
DN1857185
MA

Other

Enumeration date
03/28/2012
Last updated
07/05/2016
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