Individual
DR. JOHN KEITH LISONBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4627 N DAVIS HWY STE A, PENSACOLA, FL 32503-2364
(850) 477-1120
Mailing address
2570 TEN MILE RD, PACE, FL 32571-9123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25088
FL
Other
Enumeration date
07/01/2020
Last updated
02/02/2023
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