Organization
LAURA LONDONO DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA E LONDONO DMD (PRESIDENT)
(786) 554-6309
Entity
Organization
Contact information
Practice address
7800 N UNIVERSITY DR STE 101, TAMARAC, FL 33321-2113
(954) 670-1170
(786) 554-6309
Mailing address
4147 OPEN WAY, HOLLYWOOD, FL 33026-1154
(786) 554-6309
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
20878
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
661726
—
FL
Enumeration date
08/10/2017
Last updated
06/16/2018
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