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Individual

CHARMAINE JOHNSON-LEONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2717 E OAKLAND PARK BLVD, SUITE 100, FORT LAUDERDALE, FL 33306-1664
(954) 566-7479
(954) 306-6910
Mailing address
2717 E OAKLAND PARK BLVD, SUITE 100, FORT LAUDERDALE, FL 33306-1664
(954) 566-7479
(954) 306-6910

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15991
FL

Other

Enumeration date
05/22/2015
Last updated
05/08/2025
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