| Dr David Herman's Four Corners Dental, Llc | |
|
3751 N Butler Ave Ste 113 Farmington NM 87401-6425 | |
| (505) 564-9000 | |
| (505) 564-9100 |
| Full Name | Dr David Herman's Four Corners Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 3751 N Butler Ave Ste 113, Farmington, New Mexico |
| Authorized Official Name and Position | David J Herman (ORTHODONTIST) |
| Authorized Official Contact | 5055649000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Herman's Four Corners Dental, Llc 3751 N Butler Ave Ste 113 Farmington NM 87401-6425 Ph: (505) 564-9000 | Dr David Herman's Four Corners Dental, Llc 3751 N Butler Ave Ste 113 Farmington NM 87401-6425 Ph: (505) 564-9000 |
| NPI Number | 1558790378 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 11/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558790378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1859 (New Mexico) | Primary |
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