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Organization

DR. LAREE JOHNSON PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAREE JOHNSON DDS (OWNER)
(919) 526-1000
Entity
Organization

Contact information

Practice address
2620 NEW BERN AVE, RALEIGH, NC 27610-1821
(919) 526-1000
(833) 516-9244
Mailing address
182 INDUSTRIAL RD, GLEN ROCK, PA 17327-8626
(717) 759-4375
(717) 759-4336

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223P0221X
Pediatric Dentistry

Other

Enumeration date
01/11/2023
Last updated
01/17/2023
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