Individual
LINDA G JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1512 SANSOM ST, PHILADELPHIA, PA 19102-2804
(215) 564-0717
(215) 564-5450
Mailing address
102 S KILDONAN GLN, WILMINGTON, DE 19807-1700
(302) 654-8234
(302) 778-1773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS026800-L
PA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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