Peter Allen Hertz DDS

NPI 1013902147 - Dentist - 1223G0001X

NPI Details
NPI 1013902147
Gender Male
Enumeration Date 09/14/2005
Last Updated 06/27/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1042 N BROADWAY
N MASSAPEQUA NY, 11758-2032, US
Phone (516) 293-3444
Fax (516) 293-3459
Business Location
1042 N BROADWAY
N MASSAPEQUA NY, 11758-2032, US
Phone (516) 293-3444
Fax (516) 293-3459
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 026972
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According to our database, Dr. Peter Allen Hertz DDS NPI is 1013902147, taxonomy code is 1223G0001X and license number is 026972, license state is located at New York. Peter Allen Hertz DDS physically located at 1042 N Broadway, N Massapequa NY, 11758-2032. NPI Number Peter Allen Hertz DDS has the Individual type.

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1013902147 NPI number is provided on an as is basis without warranty of any kind. 1013902147 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Allen Hertz DDS are for informational purposes only.