Organization
HERSANG DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE BARBER (PROVIDER ENROLLMENT MANAGER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
1732 W 5400 S, TAYLORSVILLE, UT 84129-1457
(385) 518-0400
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
(315) 454-6000
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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