Individual
DR. BRUNO S HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
71817 HIGHWAY 111 STE 1, RANCHO MIRAGE, CA 92270-4487
(760) 340-5155
Mailing address
7828 DAY CREEK BLVD APT 2-225, RANCHO CUCAMONGA, CA 91739-8569
(919) 265-8040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
151064
NC
1223P0300X
Periodontics
Primary
105676
CA
1223P0300X
Periodontics
202102186
MO
Other
Enumeration date
08/12/2015
Last updated
07/22/2021
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