Individual
CORY REID HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
515 DELAWARE ST SE, SCHOOL OF DENTISTRY, MINNEAPOLIS, MN 55455-0357
(612) 626-6529
Mailing address
515 DELAWARE ST SE, TMJ CLINIC, MINNEAPOLIS, MN 55455-0357
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D11242
MN
1223X2210X
Orofacial Pain Dentistry
Primary
D11242
MN
Other
Enumeration date
09/26/2006
Last updated
10/02/2019
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