| Laura Londono Dmd Pa | |
|
7800 N University Dr Ste 101 Tamarac FL 33321-2113 | |
| (954) 670-1170 | |
| (786) 554-6309 |
| Full Name | Laura Londono Dmd Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7800 N University Dr Ste 101, Tamarac, Florida |
| Authorized Official Name and Position | Laura E Londono (PRESIDENT) |
| Authorized Official Contact | 7865546309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Londono Dmd Pa 4147 Open Way Hollywood FL 33026-1154 Ph: (786) 554-6309 | Laura Londono Dmd Pa 7800 N University Dr Ste 101 Tamarac FL 33321-2113 Ph: (954) 670-1170 |
| NPI Number | 1003331034 |
|---|---|
| Provider Enumeration Date | 08/10/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003331034 | NPI | - | NPPES |
| 661726 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20878 (Florida) | Primary |
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