Individual
DR. LAURA CONSTANZA REY LONDONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
11970 BOYETTE RD, RIVERVIEW, FL 33569-5601
(813) 645-4377
Mailing address
13974 SPECTOR RD APT 202, LITHIA, FL 33547-4190
(415) 889-9836
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN26465
FL
Other
Enumeration date
01/20/2022
Last updated
01/26/2022
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