Individual
JOHANN RAMKISSOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
272 SW BENTLEY PL, LAKE CITY, FL 32025-6972
(386) 752-3043
(386) 755-1466
Mailing address
255 SW MAIN BLVD, LAKE CITY, FL 32025-7050
(386) 752-2480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN21272
FL
Other
Enumeration date
07/15/2015
Last updated
05/03/2023
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