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Individual
DR. BRUNO S HERRERA
Active
Individual
DR. BRUNO S HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
151064
NC
1223P0300X
Periodontics
Primary
105676
CA
1223P0300X
Periodontics
202102186
MO
Other
Enumeration date
08/12/2015
Last updated
07/22/2021
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