Individual
DAWN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8900 MULBERRY LN, THE VILLAGES, FL 32162
(352) 674-5000
Mailing address
3182 C.R. 418, LAKE PANASOFFKEE, FL 33538
(386) 793-3298
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
8013
FL
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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