Organization
LYSANDRO O. TAPNIO DMD PA
Active
Other names
Beacon Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH MARTIN (OFFICE MANAGER)
(904) 641-0944
Entity
Organization
Contact information
Practice address
9272 ARLINGTON EXPY, JACKSONVILLE, FL 32225-8212
(904) 641-0944
(904) 642-2999
Mailing address
9272 ARLINGTON EXPY, JACKSONVILLE, FL 32225-8212
(904) 641-0944
(904) 642-2999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10175
FL
261QD0000X
Dental Clinic/Center
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/12/2012
Last updated
08/28/2019
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