Individual
KASSANDRA LORENA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 NORTHEAST BLVD, CLINTON, NC 28328-2424
(910) 596-0606
Mailing address
8035 ELEMENT CIR, GARNER, NC 27529-3375
(919) 824-8426
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14303
NC
Other
Enumeration date
05/03/2023
Last updated
07/07/2025
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