Individual
DR. RAYMOND GORDON JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2260 NORTHLAKE PARKWAY, SUITE 220, TUCKER, GA 30084-4006
(770) 492-0250
(770) 492-0750
Mailing address
2260 NORTHLAKE PARKWAY, SUITE 220, TUCKER, GA 30084-4006
(770) 492-0250
(770) 492-0750
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7587GEORGIA
GA
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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