Individual
LIEN HERRERO HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7625 S 59TH AVE STE 150, LAVEEN, AZ 85339-3099
(623) 777-5555
Mailing address
18662 N 72ND DR, GLENDALE, AZ 85308-5827
(786) 740-0143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012267
AZ
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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