Provider Demographics
NPI:1124239488
Name:HERRERA, ANDRES F (DDS)
Entity type:Individual
Prefix:MR
First Name:ANDRES
Middle Name:F
Last Name:HERRERA
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 1:546 ABBOTT ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4357
Mailing Address - Country:US
Mailing Address - Phone:831-424-7393
Mailing Address - Fax:831-424-7953
Practice Address - Street 1:546 ABBOTT ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4000
Practice Address - Country:US
Practice Address - Phone:831-424-7393
Practice Address - Fax:831-424-7953
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA537051223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG89919-01OtherDENTICAL