Individual
LAURA PADRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3135 COLUMBIA BLVD STE 101, TITUSVILLE, FL 32780-7833
(321) 567-2000
Mailing address
3135 COLUMBIA BLVD STE 101, TITUSVILLE, FL 32780-7833
(321) 567-2000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN24284
FL
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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