Individual
DR. ROBERT GUSTAV HEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1206 W FRONT ST, ALBERT LEA, MN 56007-1903
(507) 373-5968
(507) 373-8410
Mailing address
1206 W FRONT ST, ALBERT LEA, MN 56007-1903
(507) 373-5968
(507) 373-8410
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9001
MN
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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