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Individual

WILLIAM MONG HERR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1310 ATLANTA HWY, AUBURN, GA 30011
(770) 339-4690
(770) 339-4736
Mailing address
1310 ATLANTA HWY, AUBURN, GA 30011-3223
(770) 339-4690
(770) 339-4736

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D12826
MN
122300000X
Dentist
Primary
DN014222
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6512832149
MN
Enumeration date
06/04/2010
Last updated
11/02/2016
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