NPI 1003986381

Christopher W Herzog, DDS

Practitioner Pediatric Dentistry Spokane, WA

Practice location

Address: 605 E Holland Ave STE 222, Spokane, WA 99218-1246
Phone: (509) 755-5437
Fax: (509) 755-0444
Mailing address: 1502 E Vanetta Ln, Spokane, WA 99217-5515

Registered specialties

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 10414 (WA)

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Registry record

NPI: 1003986381
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Nov 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.