Individual
DR. INGRID CAROLINA HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-1001
(706) 721-2371
(706) 721-6778
Mailing address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-1001
(706) 721-2371
(706) 721-6778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN015757
GA
1223G0001X
General Practice Dentistry
DN20267
FL
1223P0700X
Prosthodontics
Primary
DN015757
GA
Other
Enumeration date
08/22/2013
Last updated
03/11/2019
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