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1609209105
HERZOG AUSTIN DOMAIN PC
AUSTIN, TX
NPI
1609209105
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Entity Type
Organization
Authorized Contact
CORTNEY BLACK
Manager
512-617-0110
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2013-08-20
Last Update Date
2013-08-20
Business Address
HERZOG AUSTIN DOMAIN PC
3310 W. BRAKER LN BLD. 1 #100
AUSTIN, TX 78758
Phone number: 512-617-0110
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Mailing Address
HERZOG AUSTIN DOMAIN PC
3310 W. BRAKER LN BLD. 1 #100
AUSTIN, TX 78758
Phone number: 512-617-0110
Copy
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