Individual
HAROLD CORTEZ JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21761 RYAN RD, WARREN, MI 48091
(586) 758-3620
(586) 758-8279
Mailing address
PO BOX 759, TROY, MI 48099-0759
(586) 758-3620
(586) 758-8279
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
013040
MI
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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