Organization
PRACTICE EQUITY, LLC
Active
Other names
Douglas S. Johnson, DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS S. JOHNSON DMD (OWNER)
(706) 647-5437
Entity
Organization
Contact information
Practice address
219 THOMAS ST, SUITE B, THOMASTON, GA 30286-5452
(706) 647-5437
(706) 646-2414
Mailing address
219 THOMAS STREET, SUITE B, THOMASTON, GA 30286
(706) 647-5437
(706) 646-2414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009559
GA
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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