Organization
HERZOG LEGACY PC
Active
Other names
FLOSS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINT HERZOG DDS (CEO/PRESIDENT)
(214) 871-7100
Entity
Organization
Contact information
Practice address
5800 LEGACY DR STE C8, PLANO, TX 75024-7101
(469) 368-0101
(469) 368-0102
Mailing address
5800 LEGACY DR STE C8, PLANO, TX 75024-7101
(469) 368-0101
(469) 368-0102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20239
TX
Other
Enumeration date
06/13/2011
Last updated
07/07/2011
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