Organization
HERRON FAMILY DENTAL INC
Active
Other names
Herron Family Dental Inc, Devere Herron
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVERE HERRON DDS (OWNER)
(773) 476-5335
Entity
Organization
Contact information
Practice address
7203 S WESTERN AVE, CHICAGO, IL 60636-3653
(773) 476-5335
Mailing address
7203 S WESTERN AVE, CHICAGO, IL 60636-3653
(773) 329-3303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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