Tatiana Santiago Herzog Dds Pa | |
3343 Ne 33rd St Ft Lauderdale FL 33308-7109 | |
(954) 563-1362 | |
Not Available |
Full Name | Tatiana Santiago Herzog Dds Pa |
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Speciality | Dentist |
Location | 3343 Ne 33rd St, Ft Lauderdale, Florida |
Authorized Official Name and Position | Tatiana Herzog (OWNER) |
Authorized Official Contact | 3054095392 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tatiana Santiago Herzog Dds Pa 3343 Ne 33rd St Ft Lauderdale FL 33308-7109 Ph: (954) 563-1362 | Tatiana Santiago Herzog Dds Pa 3343 Ne 33rd St Ft Lauderdale FL 33308-7109 Ph: (954) 563-1362 |
NPI Number | 1629315809 |
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Provider Enumeration Date | 01/08/2013 |
Last Update Date | 01/08/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629315809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN18993 (Florida) | Primary |
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