Individual
BROOKE BURNETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3769 SUNSET AVE, ROCKY MOUNT, NC 27804-3327
(252) 443-0048
Mailing address
3769 SUNSET AVE, ROCKY MOUNT, NC 27804-3327
(252) 443-0048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10093
NC
Other
Enumeration date
06/12/2015
Last updated
03/06/2017
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