Individual provider · NPI-1

Robert M. Herrera, DDS

Dentist, General Practice · Okemos, MI

NPI number1730267667
StatusActive
Last updated in NPPESFeb 27, 2013

Details

NPI
1730267667
Entity type
Individual (NPI-1)
Name
Robert M. Herrera
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 1, 2006
Last updated
Feb 27, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice2901016940MIYes

Practice location

3841 Okemos Rd
Okemos, MI 48864-3635

Phone 517-347-5030 · Fax 517-347-0595

Mailing address

3841 Okemos Rd
Okemos, MI 48864-3635

Phone 517-347-5030 · Fax 517-347-0595

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