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Individual

DR. AMPARO ELENA HEREDIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
3210 FILLMORE ST, SUITE 2, SAN FRANCISCO, CA 94123-3403
(415) 921-4132
(415) 921-2817
Mailing address
3210 FILLMORE ST, SUITE 2, SAN FRANCISCO, CA 94123-3403
(415) 921-4132
(415) 921-2817

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
58526
CA

Other

Enumeration date
09/02/2010
Last updated
12/04/2013
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