| Herman Dental Corporation | |
|
1258 Coloma Way Roseville CA 95661 | |
| (916) 784-1144 | |
| (916) 786-2409 |
| Full Name | Herman Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1258 Coloma Way, Roseville, California |
| Authorized Official Name and Position | Tim J Herman (DENTIST PRESIDENT) |
| Authorized Official Contact | 9167841144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Herman Dental Corporation 1258 Coloma Way Roseville CA 95661-4602 Ph: (916) 784-1144 | Herman Dental Corporation 1258 Coloma Way Roseville CA 95661 Ph: (916) 784-1144 |
| NPI Number | 1669631172 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 02/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669631172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 36937 (California) | Primary |
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