| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SERGIO HERRERA SORIA | 1386261527 | 2020-07-04 |
Sergio Herrera Soria is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1386261527. Registration indicates Sergio Herrera Soria is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
| Entity Type | Individual |
| Provider Name | Sergio Herrera Soria |
| Practice Office Address | BLVD AGUA CALIENTE #4558 PISOC C2, CENTRO MEDICO2, CONSULTORIO #10 (CM2-10) TIJUANA, BAJA CALIFORNIA MX |
| Practice Office Telephone | 6649710125 |
| Mailing Address | 2475 PASEO DE LAS AMERICAS # 1848 SAN DIEGO, CA 921547255 US |
| Business Telephone | 6192074089 |
| Code | Practice | License No State |
|---|---|---|
| 122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | 8556315
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