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1992187876
ELADIO MIGUEL TRAVIESAS HERRERA
HIALEAH, FL
NPI
1992187876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL DN22857)
Additional Taxonomies
122300000X Dentist
Enumeration Date
2015-06-26
Last Update Date
2022-07-21
Business Address
ELADIO MIGUEL TRAVIESAS HERRERA
4301 PALM AVE STE F
HIALEAH, FL 33012-4060
Phone number: 305-826-8980
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Mailing Address
ELADIO MIGUEL TRAVIESAS HERRERA
9231 NW 114TH ST APT 3
HIALEAH GARDENS, FL 33018-4306
Phone number: 786-458-5605
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