NPI | 1821786831 |
---|---|
Other Name | DEVERE HERRON |
Doing Business As | HERRON FAMILY DENTAL INC |
Entity Type | Organization |
Authorized Contact | DEVERE HERRON Owner 773-476-5335 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2023-04-27 |
Last Update Date | 2023-04-27 |