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Individual

DR. JOHN R HERRMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4503 1ST AVENUE BOX 98, KEARNEY, NE 68848
(308) 236-5421
(308) 234-9843
Mailing address
4503 1ST AVENUE BOX 98, KEARNEY, NE 68848
(308) 236-5421
(308) 234-9843

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4317
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47056098300
NE
Enumeration date
10/16/2006
Last updated
07/08/2007
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