Individual
DR. DEVONTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
587 VIRGINIA AVE NE STE 5, ATLANTA, GA 30306-3688
(404) 389-0700
Mailing address
6256 PHILLIPS LAKE CV, LITHONIA, GA 30058-3932
(678) 463-7076
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122512
GA
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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