LEANDRA DOPAZO
Dentist at Hendricks Ave, Jacksonville, FL

License number
Florida 18719
Issued Date
Jun 24, 2009
Effective Date
Jun 24, 2009
Expiration Date
Feb 28, 2018
Category
Health Care
Type
Dental
Address
Address
3457 Hendricks Ave, Jacksonville, FL 32207
Phone
(904) 398-8646
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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LEANDRA DOPAZO D.D.S., M.S., PA

Jacksonville, FL

Registration:
Apr 6, 2011
Addresses:
3457 Hendricks Ave, Jacksonville, FL 32207 (Physical)
3733 University Blvd W, Jacksonville, FL 32217
State ID:
P11000033891
Business type:
Florida Profit Corporation
President, Secretary, Treasurer, Vice President:
Leandra A Dopazo (President, Secretary, Treasurer, Vice President), 3457 Hendricks Ave, Jacksonville, FL 32207 (Physical)
Agent:
Abe Antonio-Jose,3457 Hendricks Ave, Jacksonville, FL 32207 (Physical)
EIN:
364695348

Leandra Dopazo D.D.S., M.S., P

3457 Hendricks Ave, Jacksonville, FL 32207

Industry:
Dentist's Office
Principal:
Leandra Moore (Principal)

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