Individual
DR. BRANDON HEROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4050 CRUMS MILL RD STE 201, HARRISBURG, PA 17112-2827
(518) 848-4622
Mailing address
4050 CRUMS MILL RD STE 201, HARRISBURG, PA 17112-2827
(518) 848-4622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.031854
IL
Other
Enumeration date
10/03/2019
Last updated
09/24/2024
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