Individual
DR. JOHN FREDERICK LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
472 JACKSONVILLE DR, JACKSONVILLE BEACH, FL 32250-3812
(904) 246-6545
(904) 246-3718
Mailing address
472 JACKSONVILLE DR, JACKSONVILLE BEACH, FL 32250-3812
(904) 246-6545
(904) 246-3718
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
23434
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN 21096
FL
Other
Enumeration date
04/11/2009
Last updated
07/21/2022
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