Organization
JOHNSON FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCIEN S. JOHNSON, 111 D.M.D. (DENTIST)
(407) 282-0002
Entity
Organization
Contact information
Practice address
1951 S ALAFAYA TRL, ORLANDO, FL 32828-8732
(407) 282-0002
(407) 282-1602
Mailing address
1951 S ALAFAYA TRL, ORLANDO, FL 32828-8732
(407) 282-0002
(407) 282-1602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0013457
FL
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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