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Individual

DR. GABRIELA ALICIA HERRERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
8200 ROBERTS DR, ATLANTA, GA 30350-4147
(770) 691-2322
Mailing address
12065 FORSYTHIA DR, ORLANDO, FL 32827-7171
(407) 534-4999

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DNF000402
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DNF000402
GEORGIA BOARD OF DENTISTRY
GA
Enumeration date
06/14/2017
Last updated
07/21/2022
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