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Individual

DR. TAMMA L JOHNSON-GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3508 GROOM RD, BAKER, LA 70714-3508
(225) 774-3934
Mailing address
1153 CORNERSTONE DR, BATON ROUGE, LA 70810-4774
(225) 953-3576

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
6435
LA
1223G0001X
General Practice Dentistry
Primary
8170
TN

Other

Enumeration date
12/15/2006
Last updated
04/08/2015
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