Gary Robert Herron III
Gary Robert Herron III is a Student in an Organized Health Care Education/Training Program in Fort Irwin, California. Works from 2 locations. Licensed in Colorado.
- Licensed in
- CO
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
Fort Irwin, CANo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- Dentac Bldg 128, Fort Bliss, TX 79906 — (505) 235-1192
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DEN.00205200 (CO) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1700506821 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 30, 2022 |
| Last updated in NPPES | September 13, 2023 |
| Certification date | September 11, 2023 |
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