OrganizationDenitza De La HerranDentistDental ProvidersPractice AddressFrida Kahlo 10410, Tijuana, BC 22010 (Mexico)(562) 352-0417PECOS EnrollmentBased on the most recent information from CMS, provider Denitza De La Herran does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1972471837Provider TypeOrganizationFull NameDenitza De La HerranSubpartNoEnumeration Date10/23/2025Last Updated10/23/2025Contact InformationPractice LocationPractice AddressFrida Kahlo 10410, Tijuana, BC 22010 (Mexico)PhoneUnlisted PhoneFaxUnlisted FaxMailing LocationMailing Address511 E San Ysidro Blvd # 2030, San Ysidro, CA 92173-3150Phone(562) 352-0417Fax(562) 366-0560Authorized OfficialNameDe La Herran, Denitza (Dentist)Phone(562) 352-0417Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted Issuer