Individual
DR. ALLAN CARL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4605 69TH AVENUE, HYATTSVILLE, MD 20784-2123
(301) 772-2224
(301) 772-2289
Mailing address
4605 69TH AVENUE, HYATTSVILLE, MD 20784-2123
(301) 772-2224
(301) 772-2289
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4102
MD
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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