Individual
LORI HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1352 SOUTH ST STE C3, PHILADELPHIA, PA 19147-1858
(215) 800-1495
Mailing address
408 SPRUCE ST APT 1, PHILADELPHIA, PA 19106-4247
(215) 565-5800
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS042184
PA
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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