Organization
ICOM POMPANO BEACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATIANA SANTIAGO HERZOG (DENTIST)
(954) 507-0799
Entity
Organization
Contact information
Practice address
2323 NE 26TH AVE STE 108, POMPANO BEACH, FL 33062-1147
(954) 507-0799
(786) 221-4442
Mailing address
611 NE 13TH ST, FT LAUDERDALE, FL 33304-1109
(954) 507-0799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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