Organization
LAURIS L JOHNSON DMD PLLC
Active
Other names
My Family Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIS JOHNSON DMD (OWNER)
(407) 810-8271
Entity
Organization
Contact information
Practice address
7848 WINTER GARDEN VINELAND RD, 100, WINDERMERE, FL 34786-5934
(407) 810-8271
Mailing address
7848 WINTER GARDEN VINELAND RD, 100, WINDERMERE, FL 34786-5934
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16876
FL
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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