Provider Demographics
NPI:1285836361
Name:HERBER, ERICH WALTER (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERICH
Middle Name:WALTER
Last Name:HERBER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31150 ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-2533
Mailing Address - Country:US
Mailing Address - Phone:951-317-2505
Mailing Address - Fax:
Practice Address - Street 1:40140 WINCHESTER RD
Practice Address - Street 2:SUITE B
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-5511
Practice Address - Country:US
Practice Address - Phone:951-795-4833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS31924122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist