Individual
ARA ALESSYS HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602-5503
(315) 772-5576
Mailing address
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602-5503
(315) 772-5576
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044099
PA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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