| NPI | 1275797086 |
|---|---|
| Former Name | MAURICIO J. HERRERA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: VA 0401413331) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0401413331) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2024-01-29 |