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Organization
VIP SMILES JOHNSON DENTAL INC
Active
Organization
VIP SMILES JOHNSON DENTAL INC
Active
Other names
VIP SMILES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCIA JOHNSON D.M.D. (CHAIRMAN)
(216) 288-7560
Entity
Organization
Contact information
Practice address
5260 WARRENSVILLE CTR RD, MAPLE HEIGHTS, OH 44137-1913
(216) 475-0080
(216) 475-0778
Mailing address
5260 WARRENSVILLE CTR RD, MAPLE HEIGHTS, OH 44137-1913
(216) 475-0080
(216) 475-0778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-21917
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2492440
—
OH
Enumeration date
10/27/2009
Last updated
10/27/2009
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