Mark a Herzog
Mark a Herzog is a Dentist in Ellsworth, Kansas. Licensed in Kansas. Registered with an NPI since 2013.
- Licensed in
- KS
- In the registry since
- 2013
Practice location Address checks out
804 E 8th StEllsworth, KS 67439-2535
Phone: (785) 472-5420
Fax: (785) 472-8995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 6269 (KS) |
|---|
Record details
| NPI number | 1487992004 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Herzog — President · (785) 472-5420 |
| NPI enumerated | January 17, 2013 |
| Last updated in NPPES | January 17, 2013 |
| Mailing address | 804 E 8th St, Ellsworth, KS 67439-2535 |