Individual provider · Type 1 NPI
Mark Carl Herzberg, DDS
Periodontics · Minneapolis, MN
NPI number
1073731998
Active
Practice location
Va Medical Center, One Veterans Drive
Minneapolis, MN 55417
Fax (612) 626-2651
Mailing address
3927 York Ave S
Minneapolis, MN 55410-1164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 8687 (MN) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1073731998
Mark Carl Herzberg, DDS's National Provider Identifier is 1073731998, issued on Apr 23, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 8, 2007.