Organization
JOHN A HERZOG, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ANDREW HERZOG D.D.S. (OWNER)
(978) 922-4427
Entity
Organization
Contact information
Practice address
78 MCKAY ST, BEVERLY, MA 01915-3031
(978) 922-4427
(978) 927-4937
Mailing address
78 MCKAY ST, BEVERLY, MA 01915-3031
(978) 922-4427
(978) 927-4937
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15790
MA
Other
Enumeration date
02/12/2008
Last updated
07/29/2008
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