Organization
LDSHANE PLLC
Active
Other names
North Jacksonville Complete Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN JOHNSON DDS (OWNER)
(904) 751-4958
Entity
Organization
Contact information
Practice address
1566 DUNN AVE, JACKSONVILLE, FL 32218
(904) 751-4958
(904) 751-5330
Mailing address
1566 DUNN AVE, JACKSONVILLE, FL 32218
(904) 751-4958
(904) 751-5330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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