Individual
HETIENNE MOTA MACEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
690 GOODLETTE-FRANK RD N, NAPLES, FL 34102-5613
(239) 263-1151
Mailing address
26 LE MARC CT, ROCHESTER, NY 14618-5657
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN28713
FL
1223G0001X
General Practice Dentistry
Primary
DN28713
FL
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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