Provider Demographics
NPI:1982897567
Name:DR. ANDRES F. HERRERA, DDS, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:DR. ANDRES F. HERRERA, DDS, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:FELIPE
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:831-424-7393
Mailing Address - Street 1:420 E ROMIE LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4000
Mailing Address - Country:US
Mailing Address - Phone:831-424-7393
Mailing Address - Fax:831-424-7953
Practice Address - Street 1:420 E ROMIE LN
Practice Address - Street 2:SUITE A
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty