Individual
KIRI HERCHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4600
Mailing address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
61907
CA
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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