Individual
KATELYN ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7530 4TH ST N, ST PETERSBURG, FL 33702-5410
(727) 525-8770
Mailing address
7530 4TH ST N STE 252, ST PETERSBURG, FL 33702-5410
(727) 525-8770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26703
FL
Other
Enumeration date
06/25/2021
Last updated
05/17/2024
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