Individual
EDWARD L. HEROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23320 N STATE ROAD 235, BROOKER, FL 32622-5266
(352) 485-2772
(352) 485-1961
Mailing address
23320 NORTH STATE ROAD 235, BROOKER, FL 32622-5266
(352) 485-2772
(352) 485-1961
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AH2308181
FL
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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