Individual
DR. ANDREA WISE HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2529 SANTA BARBARA BLVD STE 100, CAPE CORAL, FL 33914-4447
(239) 800-3955
(239) 205-2221
Mailing address
2529 SANTA BARBARA BLVD STE 100, CAPE CORAL, FL 33914-4447
(239) 800-3955
(239) 800-3929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN25630
FL
Other
Enumeration date
03/19/2020
Last updated
01/25/2024
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