Jaclyne Ivette Herrera DMD

NPI 1609156025 - Dentist - 122300000X

NPI Details
NPI 1609156025
Gender Female
Enumeration Date 08/17/2011
Last Updated 08/17/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1585 3RD ST
BUILDING 285
FORT POLK LA, 71459-5102, US
Phone (337) 531-4762
Fax
Business Location
1585 3RD ST
BUILDING 285
FORT POLK LA, 71459-5102, US
Phone (337) 531-4762
Fax
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number DN19459
Remove 1609156025 NPI Number
 

According to our database, Dr. Jaclyne Ivette Herrera DMD NPI is 1609156025, taxonomy code is 122300000X and license number is DN19459, license state is located at Florida. Jaclyne Ivette Herrera DMD physically located at 1585 3rd St, Fort Polk LA, 71459-5102. NPI Number Jaclyne Ivette Herrera DMD has the Individual type.

Sponsored links

1609156025 NPI number is provided on an as is basis without warranty of any kind. 1609156025 is maintained by the National Plan & Provider Enumeration System. The contents of Jaclyne Ivette Herrera DMD are for informational purposes only.