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1164573879
LISE HERRERA
CHULA VISTA, CA
NPI
1164573879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 36377)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
Dr. LISE HERRERA D.D.S
1101 BROADWAY ST
CHULA VISTA, CA 91911
Phone number: 619-422-8891
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Mailing Address
Dr. LISE HERRERA D.D.S
1428 VENTERS DR.
CHULA VISTA, CA 91911
Phone number: 619-913-0312
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