ICOM SUNRISE LLC

SUNRISE, FL
NPI1093585853
Entity TypeOrganization
Authorized ContactTATIANA SANTIAGO HERZOG
Dentist
954-356-2721
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2024-01-03
Last Update Date2024-01-03
Business Address
ICOM SUNRISE LLC
12651 W SUNRISE BLVD
SUNRISE, FL 33323-0906
Phone number: 954-356-2721
Mailing Address
ICOM SUNRISE LLC
611 NE 13TH ST
FT LAUDERDALE, FL 33304-1109
Phone number: 305-409-5392