Individual
DANIEL HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18725 ROXBURGH PL, NORTHRIDGE, CA 91326-1122
(818) 903-5812
Mailing address
18725 ROXBURGH PL, NORTHRIDGE, CA 91326-1122
(818) 903-5812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
100114
CA
Other
Enumeration date
03/14/2014
Last updated
01/05/2018
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