Tatiana Santiago Herzog DDS PA

NPI #1629315809 in Ft Lauderdale, Florida

Provider Information

NPI Number: 1629315809
Entity Type: Organization
Organization Name: Tatiana Santiago Herzog DDS PA
Primary Specialty: Dentist
Enumeration Date: Jan 8, 2013
Last Updated: Jan 8, 2013

Practice Location

Address: 3343 NE 33RD ST
City: Ft Lauderdale
State: Florida
ZIP Code: 33308-7109
Phone: (954) 563-1362

Authorized Official

Name: TATIANA HERZOG, DDS
Title: OWNER
Phone: (305) 409-5392

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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