Individual
LATRICA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1015 DONALD LEE HOLLOWELL PKWY NW, ATLANTA, GA 30318-6653
(404) 523-6571
Mailing address
109 ST ANN CIR, DALLAS, GA 30157-8069
(770) 856-5864
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH010964
GA
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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