Individual
HALEY JUNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2020 LAUREL ST, COLUMBIA, SC 29204-1019
(803) 254-4543
Mailing address
4681 DOVE PT, YORK, SC 29745-9602
(803) 235-5223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.9910GD
SC
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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