Individual
DR. EUPHEMIA LAREE JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
2800 WAKEFIELD PINES DR, STE 110, RALEIGH, NC 27614-8998
(919) 570-0180
(919) 570-0280
Mailing address
2800 WAKEFIELD PINES DR, STE 110, RALEIGH, NC 27614-8998
(919) 570-0180
(919) 570-0280
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6683
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990099
—
NC
01
—
90099
BLUE CROSS BLUE SHIELD
NC
Enumeration date
03/10/2006
Last updated
07/08/2007
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