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NPI Code Detail

MEDICARE: DR. LAURA L TROMBLY DDS

MEDICARE: DR. LAURA L TROMBLY DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist17046MI
2122300000XDentistDN 21148FL

General Provider Information

NPI Number : 1972574572
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA L TROMBLY DDS
Provider Business Mailing Address
First Line : 800 E MERRITT ISLAND CSWY
Second Line : #105
City : MERRITT ISLAND
State : FL
Zip : 32952-3514
Country : US
Telephone Number : 321-241-5165
Fax Number :
Provider Business Practice Location Address
First Line : 800 E MERRITT ISLAND CSWY
Second Line : #105
City : MERRITT ISLAND
State : FL
Zip : 32952-3514
Country : US
Telephone Number : 321-241-5165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 05/05/2015

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Directions to “ DR. LAURA L TROMBLY DDS” Practice Location

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