Provider Demographics
NPI:1528224078
Name:HERRERA, BRENDA LEAL (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:LEAL
Last Name:HERRERA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 TRUXEL RD
Mailing Address - Street 2:SUITE A2
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-3726
Mailing Address - Country:US
Mailing Address - Phone:916-515-1000
Mailing Address - Fax:916-515-1110
Practice Address - Street 1:4000 TRUXEL RD
Practice Address - Street 2:SUITE A2
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-3726
Practice Address - Country:US
Practice Address - Phone:916-515-1000
Practice Address - Fax:916-515-1110
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA574141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice