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
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32207-5307
- Phone
- (904) 398-6461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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