Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery |
| NPI # | 1154688539 |
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| LBN Legal business name | EUGENE G. HERMAN, DMD, P.C. | ||||||||
| Authorized official | EUGENE HERMAN - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 04/23/2012 | ||||||||
| Last updated | 04/23/2012 - About 14 years ago | ||||||||
| Identifiers |
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