Organization
JAMES WAYNE LEONARD, D.M.D., P.A.
Active
Other names
J. Wayne Leonard, D.M.D., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES WAYNE LEONARD JR. DMD (PRESIDENT)
(904) 724-7190
Entity
Organization
Contact information
Practice address
563 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-7035
(904) 724-7190
(904) 224-0027
Mailing address
563 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-7035
(904) 724-7190
(904) 224-0027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0014607
FL
Other
Enumeration date
01/26/2007
Last updated
07/01/2008
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