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Organization

DR. JAMES K. JOHNSON JR.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES KENNETH JOHNSON JR. D.D.S (OWNER)
(410) 488-8471
Entity
Organization

Contact information

Practice address
5813 MORAVIA RD, BALTIMORE, MD 21206-6133
(410) 488-8471
(410) 488-1115
Mailing address
5813 MORAVIA RD, BALTIMORE, MD 21206-6133
(410) 488-8471
(410) 488-1115

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4955
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
071634100
MD
Enumeration date
06/23/2008
Last updated
06/23/2008
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