Herron, Jennifer Diane

Herron, Jennifer Diane is an sole proprietor health care provider with primary practice located at 215 3Rd Ave , Chula Vista CA 91910-2710. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Herron, Jennifer Diane can be contacted via phone (619) 427-7070.

Contact Information

Primary practice address
215 3Rd Ave Chula Vista CA 91910-2710
Phone: (619) 427-7070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30916 California

Profile Details

NPI number 1205962735
LBN Legal business name Herron, Jennifer Diane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205962735 NPPES
California Other 30916 DENTI-CAL

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