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Organization
TATIANA SANTIAGO HERZOG DDS PA
Active
Organization
TATIANA SANTIAGO HERZOG DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATIANA HERZOG DDS (OWNER)
(305) 409-5392
Entity
Organization
Contact information
Practice address
3343 NE 33RD ST, FT LAUDERDALE, FL 33308-7109
(954) 563-1362
Mailing address
3343 NE 33RD ST, FT LAUDERDALE, FL 33308-7109
(954) 563-1362
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18993
FL
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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