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Organization
MARIA D. HERRERA DENTISTRY, P.C.
Active
Organization
MARIA D. HERRERA DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA DE JESUS HERRERA OWNER (PRESIDENT)
(718) 205-4377
Entity
Organization
Contact information
Practice address
3753 91ST ST, JACKSON HEIGHTS, NY 11372-7901
(718) 205-4377
(718) 205-8605
Mailing address
3753 91ST ST, JACKSON HEIGHTS, NY 11372-7901
(718) 205-4377
(718) 205-8605
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041976-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02685243
—
NY
Enumeration date
06/04/2007
Last updated
05/19/2008
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