Herzog Preston Royal Pllc

NPI 1457649659 - Dentist - 122300000X

NPI Details
NPI 1457649659
Enumeration Date 07/21/2011
Last Updated 07/29/2014
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name CLINT CLINT
Position CEO/PRESIDENT
Phone (214) 217-4411
Fax
Practice Location
10763 PRESTON RD
DALLAS TX, 75230-3806, US
Phone (214) 217-4411
Fax
Business Location
10763 PRESTON RD
DALLAS TX, 75230-3806, US
Phone (214) 217-4411
Fax
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 20423
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According to our database, Herzog Preston Royal Pllc NPI is 1457649659, taxonomy code is 122300000X and license number is 20423, license state is located at Texas. Herzog Preston Royal Pllc physically located at 10763 Preston Rd, Dallas TX, 75230-3806. NPI Number 1033115704 has the healthcare provider type.

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1457649659 NPI number is provided on an as is basis without warranty of any kind. 1457649659 is maintained by the National Plan & Provider Enumeration System. The contents of Herzog Preston Royal Pllc are for informational purposes only.