Organization
HERRERA FAMILY DENTAL, PLLC
Active
Other names
Herrera Family Dental , PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVELYN HERRERA DMD (OWNER)
(702) 780-7660
Entity
Organization
Contact information
Practice address
1300 S LAMB BLVD STE 400, LAS VEGAS, NV 89104-5540
(702) 780-7660
(702) 780-7669
Mailing address
1300 S LAMB BLVD STE 400, LAS VEGAS, NV 89104-5540
(702) 274-1110
(702) 780-7669
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6786
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699126094
NPI
NV
Enumeration date
05/09/2018
Last updated
05/09/2018
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