Individual
DR. HERONIMO PAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
507 N STATE HIGHWAY 47, WARRENTON, MO 63383-1611
(636) 456-2454
(636) 456-1511
Mailing address
507 N STATE HIGHWAY 47, WARRENTON, MO 63383-1611
(636) 456-2454
(636) 456-1511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013514
MO
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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