NPI | 1083119838 |
---|---|
Former Legal Business Name | MARIA HERRERA |
Entity Type | Organization |
Authorized Contact | MARIA HERRERA Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 4008074) |
Enumeration Date | 2018-03-26 |
Last Update Date | 2018-03-26 |