Individual
LAURA ANDREA LONDONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-2425
(813) 528-1556
Mailing address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN24907
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
02/28/2024
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