Organization
ADVANCED FACES, LLC
Active
Organization
ADVANCED FACES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER T JOHNSON DMD (OWNER)
(352) 242-0627
Entity
Organization
Contact information
Practice address
855 OAKLEY SEAVER DR, CLERMONT, FL 34711-1968
(352) 242-0627
(352) 242-0648
Mailing address
855 OAKLEY SEAVER DR, CLERMONT, FL 34711-1968
(352) 242-0627
(352) 242-0648
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN14869
FL
Other
Enumeration date
04/13/2007
Last updated
10/18/2012
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