MEDICARE: DR. BRENDA LEAL HERRERA D.M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	57414	CA
2	122300000X	Dentist	41427	TX

General Provider Information

NPI Number	:	1528224078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRENDA LEAL HERRERA D.M.D

Provider Business Mailing Address
First Line	:	4000 TRUXEL RD
Second Line	:	SUITE A2
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-3726
Country	:	US
Telephone Number	:	916-515-1000
Fax Number	:	916-515-1110

Provider Business Practice Location Address
First Line	:	4000 TRUXEL RD
Second Line	:	SUITE A2
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-3726
Country	:	US
Telephone Number	:	916-515-1000
Fax Number	:	916-515-1110

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2008
Last Update Date	:	07/18/2025

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