Provider Demographics
NPI:1164521597
Name:HERRERA, MARIA CRISTINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:CRISTINA
Last Name:HERRERA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 W PARR AVE
Mailing Address - Street 2:SUITE H
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032
Mailing Address - Country:US
Mailing Address - Phone:408-378-8773
Mailing Address - Fax:408-378-5354
Practice Address - Street 1:700 W PARR AVE
Practice Address - Street 2:SUITE H
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1442
Practice Address - Country:US
Practice Address - Phone:408-378-8773
Practice Address - Fax:408-378-5354
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47625122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist