Organization
JOHNSON-SHONE DENTISTRY LLC
Active
Other names
Magnolia Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN ELIZABETH JOHNSON DDS (OWNER)
(765) 631-6934
Entity
Organization
Contact information
Practice address
989 N US 31, WHITELAND, IN 46184-1379
(317) 535-3080
Mailing address
989 N US 31, WHITELAND, IN 46184-1379
(317) 535-3080
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
07/21/2022
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