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Organization

ANTHONY E. HERRO DDS,PLLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY E. HERRO DDS,PLLC (DENTIST)
(602) 266-1776
Entity
Organization

Contact information

Practice address
5133 N CENTRAL AVE, #102, PHOENIX, AZ 85012-1438
(602) 266-1776
Mailing address
5133 N CENTRAL AVE, 200, PHOENIX, AZ 85012-1438
(602) 266-1776

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6700
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1972202
UNITED CONCORDIA
AZ
Enumeration date
08/29/2007
Last updated
02/07/2014
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