Icom Bay Harbor LLC
NPI #1528838372 in Bay Harbor Islands, Florida
Provider Information
- NPI Number
- 1528838372
- Entity Type
- Organization
- Organization Name
- Icom Bay Harbor LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Jan 3, 2024
- Last Updated
- Jan 3, 2024
Practice Location
- Address
- 1160 KANE CONCOURSE STE 203
- State
- Florida
- ZIP Code
- 33154-2020
- Phone
- (305) 560-5859
Authorized Official
- Name
- TATIANA SANTIAGO HERZOG, DDS
- Title
- DENTIST
- Phone
- (305) 560-5859
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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