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Individual

NICOLE AIELLO-LUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 NW 7TH AVE, FORT LAUDERDALE, FL 33311-9026
(954) 759-6710
(954) 759-6767
Mailing address
1608 SE 3RD AVE, THIRD FLOOR PBO, FORT LAUDERDALE, FL 33316-2564
(954) 759-6710
(954) 759-6767

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH22345
FL

Other

Enumeration date
09/28/2015
Last updated
09/28/2015
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