Individual
ANTOINE GERARD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8860 COLUMBIA 100 PKWY STE 308, COLUMBIA, MD 21045-2298
(410) 465-6800
Mailing address
8860 COLUMBIA 100 PKWY STE 308, COLUMBIA, MD 21045-2298
(410) 465-6800
(410) 461-4727
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14853
MD
Other
Enumeration date
05/16/2008
Last updated
10/08/2021
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