| NPI | 1932996972 |
|---|---|
| Former Name | CAMILLE HERZOG |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WI 6001753-15) |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2026-04-07 |