Organization
PURESMILEDENTALHYGIENEPRACTICEOFMINERVAHEREDIARDHAP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINERVA LETICIA HEREDIA RDH (RDHAP)
(714) 742-6812
Entity
Organization
Contact information
Practice address
3580 SUNNYSIDE DR, YORBA LINDA, CA 92886-6919
(714) 742-6812
Mailing address
PO BOX 9403, ANAHEIM, CA 92812-7403
(714) 742-6812
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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