Individual
JOHNS HASTINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6200 20TH ST STE 292, VERO BEACH, FL 32966-1079
(772) 778-5773
(772) 778-6944
Mailing address
1920 SW CRANE CREEK AVE, PALM CITY, FL 34990-2218
(177) 278-1903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN4607
FL
Other
Enumeration date
02/10/2007
Last updated
07/08/2007
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