| NPI | 1972800852 |
|---|---|
| Other Name | ANTONIO HERBETE PAZ BEZERRA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 546) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 546) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2017-01-06 |