Organization
JOHN LANDIS DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FREDERICK LANDIS DDS (DDS)
(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
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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