Individual
ELADIO MIGUEL TRAVIESAS HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 PALM AVE STE F, HIALEAH, FL 33012-4060
(305) 826-8980
Mailing address
9231 NW 114TH ST APT 3, HIALEAH GARDENS, FL 33018-4306
(786) 458-5605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22857
FL
122300000X
Dentist
—
FL
Other
Enumeration date
06/26/2015
Last updated
07/21/2022
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