Gary Robert Herron II D.D.S.

NPI 1003815614 - Dentist - 1223G0001X

NPI Details
NPI 1003815614
Gender Male
Enumeration Date 07/15/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
6611 E HIGHWAY 290
AUSTIN TX, 78723-1134, US
Phone (512) 459-3821
Fax
Business Location
12712 SCOFIELD FARMS DR
AUSTIN TX, 78727-4539, US
Phone (512) 719-5089
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 16841
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According to our database, Dr. Gary Robert Herron II D.D.S. NPI is 1003815614, taxonomy code is 1223G0001X and license number is 16841, license state is located at Texas. Gary Robert Herron II D.D.S. physically located at 6611 E Highway 290, Austin TX, 78723-1134. NPI Number Gary Robert Herron II D.D.S. has the Individual type.

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1003815614 NPI number is provided on an as is basis without warranty of any kind. 1003815614 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Robert Herron II D.D.S. are for informational purposes only.