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Individual
LAURA ARISTIZABAL
Active
Individual
LAURA ARISTIZABAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000010787
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DS0000010787
—
TN
Enumeration date
03/19/2018
Last updated
06/25/2019
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