| Organization Name: | MERCEDES J HERRERA DDS PROFESSIONAL CORPORATION |
| NPI Number: | 1366538159 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MERCEDES JOSEFINA HERRERA (PRESIDENT) |
| Mailing Address: | 82227 Higway 111 Ste B14 Indio |
| State: | CA US |
| Postal Code: | 92201 |
| Phone Number: | 7603476499 |
| Fax Number: | 7607755376 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 02/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 45267 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |