Individual
DR. CURTIS RICHARD HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1500 E MEDICAL CENTER DRIVE, C213 MEDINN, SPC 5831, ANN ARBOR, MI 48109-5831
(734) 936-5950
Mailing address
1500 E MEDICAL CENTER DRIVE, C213 MEDINN, SPC 5831, ANN ARBOR, MI 48109-5831
(734) 936-5950
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901600466
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2901600466
MI
Other
Enumeration date
05/28/2020
Last updated
04/27/2022
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