MEDICARE: THERESA ALEJANDRINO 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	40609	CA

General Provider Information

NPI Number	:	1437293974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THERESA ALEJANDRINO HERRERA D.M.D.

Provider Business Mailing Address
First Line	:	8265 VILLAGE PKWY STE D
Second Line	:
City	:	DUBLIN
State	:	CA
Zip	:	94568-1254
Country	:	US
Telephone Number	:	925-223-6445
Fax Number	:	925-417-5922

Provider Business Practice Location Address
First Line	:	8265 VILLAGE PKWY STE D
Second Line	:
City	:	DUBLIN
State	:	CA
Zip	:	94568-1254
Country	:	US
Telephone Number	:	925-223-6445
Fax Number	:	925-417-5922

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

Provider Enumeration Date	:	02/17/2007
Last Update Date	:	01/10/2024

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