Individual
DR. JASON LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2093 JONESBORO RD, MCDONOUGH, GA 30253-5993
(770) 898-2066
Mailing address
2093 JONESBORO RD, MCDONOUGH, GA 30253-5993
(770) 898-2066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015640
GA
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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