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Organization
STG DENTAL CARE CORP
Active
Organization
STG DENTAL CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELADIO MIGUEL TRAVIESAS HERRERA DDS (OWNER)
(305) 826-8980
Entity
Organization
Contact information
Practice address
508 E 49TH ST, HIALEAH, FL 33013-1962
(786) 458-5605
Mailing address
4301 PALM AVE STE F, HIALEAH, FL 33012-4060
(786) 458-5605
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
12/14/2023
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