Individual
LAUREN LOURDES MANTILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5607 NW 27TH AVE STE 2, MIAMI, FL 33142-2826
(305) 637-6400
(305) 636-5155
Mailing address
5607 NW 27TH AVE STE 1, MIAMI, FL 33142-2826
(305) 805-1700
(305) 805-1715
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN29089
FL
Other
Enumeration date
04/24/2024
Last updated
09/03/2025
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