Antonio-Jose, Leandra Moore S.

Antonio-Jose, Leandra Moore S. is an sole proprietor health care provider with primary practice located at 3457 Hendricks Ave , Jacksonville FL 32207-5307. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Antonio-Jose, Leandra Moore S. can be contacted via phone (904) 398-6461.

Contact Information

Primary practice address
3457 Hendricks Ave Jacksonville FL 32207-5307
Phone: (904) 398-6461
Fax: (904) 398-3177
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN 18719 Florida

Profile Details

NPI number 1902862493
LBN Legal business name Antonio-Jose, Leandra Moore S.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2006
Last updated Jun 16th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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