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 |