Individual
AMMAR SHANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5116 BLANDING BLVD, JACKSONVILLE, FL 32210-7840
(904) 573-7900
(904) 903-4537
Mailing address
5116 BLANDING BLVD, JACKSONVILLE, FL 32210-7840
(904) 573-7900
(904) 903-4537
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN24222
FL
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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