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Individual

DR. JULIAN A.H JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
6141 PEACHTREE PKWY, PEACHTREE CORNERS, GA 30092-3304
(240) 462-6454
Mailing address
15707 GRAND ST, UPPER MARLBORO, MD 20772-8258
(240) 462-6454

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
RES.004335
OH
1223E0200X
Endodontics
Primary
DN123317
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/06/2021
Last updated
06/27/2024
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