Individual
AMBER MARIE HURLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, DO
Contact information
Practice address
520 N 12TH ST RM 238, OM: ORAL & MAXILLOFACIAL SURGERY CLINIC, RICHMOND, VA 23298-5064
(804) 628-6637
(804) 828-0056
Mailing address
PO BOX 980566, OM: ORAL & MAXILLOFACIAL SURGERY, RICHMOND, VA 23298-0566
(804) 828-3584
(804) 828-0056
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
06/02/2013
Last updated
06/02/2013
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