MARK BRADY HERZOG

ISSAQUAH, WA
NPI1740662246
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE60566577)
Enumeration Date2015-06-22
Last Update Date2015-06-22
Business Address
Dr. MARK BRADY HERZOG D.M.D.
6520 226TH PL SE SUITE 200
ISSAQUAH, WA 98027-8969
Phone number: 425-392-1010
Mailing Address
Dr. MARK BRADY HERZOG D.M.D.
6911 RAVENS GATE WAY
YAKIMA, WA 98908-2189
Phone number: 509-965-4718
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