Individual
DR. NICHOLAS D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
644 CHEROKEE ST NE, MARIETTA, GA 30060-8910
(770) 424-6569
Mailing address
206 BEACON CV, CANTON, GA 30114-5892
(404) 432-5059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013366
GA
Other
Enumeration date
04/16/2007
Last updated
01/28/2008
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