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Individual

MARK EDWARD HERRING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 898-6555
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC DENTISTRY, PHILADELPHIA, PA 19104

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10680
NC

Other

Enumeration date
06/28/2017
Last updated
06/28/2017
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