Individual
ELEINE LAFFITA AGUILERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 SPRUCE ST APT 5, PHILADELPHIA, PA 19104-4130
(832) 296-4098
Mailing address
4040 SPRUCE ST APT 5, PHILADELPHIA, PA 19104-4130
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25375
FL
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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