Individual
DR. LEANDRA MOORE S. ANTONIO-JOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3457 HENDRICKS AVE, JACKSONVILLE, FL 32207-5307
(904) 398-6461
(904) 398-3177
Mailing address
3457 HENDRICKS AVE, JACKSONVILLE, FL 32207-5307
(904) 398-6461
(904) 398-3177
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 18719
FL
Other
Enumeration date
04/24/2006
Last updated
06/16/2011
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