Organization
BEACHES ORAL MAXILLOFACIAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LANDIS DDS (OWNER)
(904) 246-6545
Entity
Organization
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
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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