Individual
EDSEL ALEXIS HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 301-2233
Mailing address
1994 BLUESTEM LN, SHOREVIEW, MN 55126-5013
(805) 729-7609
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D15337
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/27/2023
Last updated
06/24/2025
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