Individual
MINERVA LETICIA HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N MAIN ST, SANTA ANA, CA 92701-3576
(657) 282-6355
Mailing address
3580 SUNNYSIDE DR, YORBA LINDA, CA 92886-6919
(714) 742-6812
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP703
CA
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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