Individual
LAURA CAROLINA RODRIGO SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2736 MEDINA RD STE 114, MEDINA, OH 44256-9801
(330) 721-0606
Mailing address
285 MAIN ST APT B1, FARMINGTON, CT 06032-2951
(352) 216-6857
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.026661
OH
390200000X
Student in an Organized Health Care Education/Training Program
12510
CT
Other
Enumeration date
03/24/2019
Last updated
09/13/2021
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