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Organization
CLANTON DENTAL GROUP, LLC
Active
Organization
CLANTON DENTAL GROUP, LLC
Active
Other names
Clanton Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUTEN JOHNSON DMD (DMD)
(205) 982-0112
Entity
Organization
Contact information
Practice address
405 2ND AVE N, CLANTON, AL 35045-3461
(205) 982-0112
Mailing address
1015 BROCKS GAP PKWY, HOOVER, AL 35244-4032
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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