Individual
DR. MARC BENJAMIN HERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2026 OCEAN AVE, SUITE 1K, BROOKLYN, NY 11230-7352
(718) 998-9999
(718) 998-9999
Mailing address
1517 E 5TH ST, BROOKLYN, NY 11230-6339
(718) 998-7654
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
046617
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02121520
—
NY
Enumeration date
11/17/2005
Last updated
11/18/2008
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