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NPI Code Detail

MEDICARE: NORMA P HERRERA DDS

MEDICARE: NORMA P HERRERA DDS
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
11223G0001XGeneral Practice Dentistry25130TX
21223P0221XPediatric DentistryDN1856862MA

General Provider Information

NPI Number : 1942539614
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORMA P HERRERA DDS
Provider Business Mailing Address
First Line : 55 TRAVELER ST APT 606
Second Line :
City : BOSTON
State : MA
Zip : 02118-2966
Country : US
Telephone Number : 202-714-1701
Fax Number : 678-247-7829
Provider Business Practice Location Address
First Line : 1096 REVERE BEACH PKWY
Second Line :
City : CHELSEA
State : MA
Zip : 02150-1454
Country : US
Telephone Number : 857-776-7658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2009
Last Update Date : 07/21/2022

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