Organization
JOHN LAZZARA, DDS, PA
Active
Organization
JOHN LAZZARA, DDS, PA
Active
Other names
Lazzara Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LAZZARA DDS (PRESIDENT)
(904) 806-2238
Entity
Organization
Contact information
Practice address
4184 3RD ST S, JACKSONVILLE BEACH, FL 32250-5833
(904) 270-8750
(904) 270-8755
Mailing address
4184 3RD ST S, JACKSONVILLE BEACH, FL 32250-5833
(904) 270-8750
(904) 270-8755
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 18064
FL
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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