Individual
DR. JOHNNY JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3840 TAMPA RD, PALM HARBOR, FL 34684-3600
(727) 786-7551
Mailing address
461 WATERFORD CIR E, TARPON SPRINGS, FL 34688-7206
(727) 938-9322
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN9643
FL
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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