| NPI | 1740991652 |
|---|---|
| Doing Business As | HERBECK DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALEXIS NOELLE HERBECK Dentist 321-459-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-12 |