Individual
MEGHAN HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 NE 10TH AVE, PAYETTE, ID 83661-5422
(208) 642-9379
Mailing address
434 ONION AVE, ONTARIO, OR 97914-8808
(208) 739-7276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2061073
ID
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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