Individual
CHARLES HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
7939 HONEYGO BLVD, SUITE 227, BALTIMORE, MD 21236-4931
(410) 931-0250
(410) 931-4876
Mailing address
6075 AVALON DR, ELKRIDGE, MD 21075-5985
(410) 540-9036
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12209
MD
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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