Individual
MRS. LAURA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68 SE 6TH ST APT 1407, MIAMI, FL 33131-3194
(305) 505-5128
Mailing address
68 SE 6TH ST APT 1407, MIAMI, FL 33131-3194
(305) 505-5128
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25234
FL
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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