Provider Demographics
NPI:1922657402
Name:HERRERA DENTAL DDS INC
Entity Type:Organization
Organization Name:HERRERA DENTAL DDS INC
Other - Org Name:SUNNY DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUNILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRERA CASAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:786-502-6733
Mailing Address - Street 1:9766 SW 24TH ST STE 8
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-7575
Mailing Address - Country:US
Mailing Address - Phone:305-995-0542
Mailing Address - Fax:305-995-0543
Practice Address - Street 1:9766 SW 24TH ST STE 8
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-7575
Practice Address - Country:US
Practice Address - Phone:305-995-0542
Practice Address - Fax:305-995-0543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-08
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty