DR. Leandra Moore S. Antonio-Jose, D.D.S.

NPI #1902862493 in Jacksonville, Florida

Provider Information

NPI Number
1902862493
Entity Type
Individual
Name
DR. Leandra Moore S. Antonio-Jose, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
D.D.S.
Enumeration Date
Apr 24, 2006
Last Updated
Jun 16, 2011

Practice Location

Address
3457 HENDRICKS AVE
State
Florida
ZIP Code
32207-5307
Phone
(904) 398-6461

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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