NILES WALTER HERROD

PROVO, UT
NPI1578646642
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: UT  1321679924)
Enumeration Date2006-10-23
Last Update Date2007-07-09
Business Address
Dr. NILES WALTER HERROD DDS
777 N 500 W SUITE 102
PROVO, UT 84601-1541
Phone number: 801-375-4707
Mailing Address
Dr. NILES WALTER HERROD DDS
871 OSMOND LN
PROVO, UT 84604-5264
Phone number: 801-225-7229
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