Individual
DR. KEENON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
10208 CERNY ST, SUITE 304, RALEIGH, NC 27617-7884
(919) 706-0617
(919) 825-3361
Mailing address
10208 CERNY ST, SUITE 304, RALEIGH, NC 27617-7884
(919) 706-0617
(919) 825-3361
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
8669
NC
Other
Enumeration date
07/11/2007
Last updated
01/10/2012
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