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Individual

DR. DONALD WAYNE HERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
555 W. GRANADA BLVD, SUITE E2, ORMOND BEACH, FL 32174
(386) 672-5151
(386) 672-5313
Mailing address
555 W. GRANADA BLVD, SUITE E2, ORMOND BEACH, FL 32174
(386) 672-5151
(386) 672-5313

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
9626
FL
122300000X
Dentist
Primary
DN9626
FL

Other

Enumeration date
05/14/2007
Last updated
01/10/2012
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