Individual
LUDMILA TESORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10887 NW 17TH ST, SWEETWATER, FL 33172-2060
(305) 815-0268
Mailing address
19030 NW 10TH ST, PEMBROKE PINES, FL 33029-2928
(754) 465-6363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN27444
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/11/2020
Last updated
04/26/2023
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