Individual
MRS. LAURA E FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14337 SW 96TH TER, MIAMI, FL 33186-1124
(786) 327-9680
Mailing address
14337 SW 96TH TER, MIAMI, FL 33186-1124
(786) 327-9680
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DRP1808
FL
1223G0001X
General Practice Dentistry
DRP1808
FL
Other
Enumeration date
04/01/2018
Last updated
04/01/2018
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