SERGIO LONDONO MONCADA

BALTIMORE, MD
NPI1356100366
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MD  18402)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-13
Last Update Date2024-10-08
Business Address
SERGIO LONDONO MONCADA
920 S CURLEY ST
BALTIMORE, MD 21224-4824
Phone number: 240-370-6452
Mailing Address
SERGIO LONDONO MONCADA
601 ALBANY ST UNIT 404
BOSTON, MA 02118-2790
Phone number: 240-370-6452