Individual
L. GREGORY HERTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2644 MOSSIDE BLVD, MONROEVILLE, PA 15146-3348
(412) 856-7270
Mailing address
926 GREAT POND DR, SUITE 2003, ALTAMONTE SPRINGS, FL 32714-7244
(407) 788-3572
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS019248
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025376900001
—
PA
Enumeration date
04/06/2006
Last updated
01/28/2015
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