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Individual

DR. JOE M. HERRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
701 WASHINGTON BLVD., KANSAS CITY, KS 66101
(913) 362-8868
(913) 362-1780
Mailing address
701 WASHINGTON BLVD., KANSAS CITY, KS 66101
(913) 362-8868
(913) 362-1780

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6532
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100224130-A
KS
05
100224130A
KS
01
15284016
BLUE CROSS BLUE SHIELD OF KC
MO
Enumeration date
10/18/2005
Last updated
09/16/2009
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