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Individual

DR. JENNIFER HENKEL JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
9951 SEMINOLE BLVD, SEMINOLE, FL 33772
(727) 393-8855
(727) 391-0395
Mailing address
9951 SEMINOLE BLVD, SEMINOLE, FL 33772-2536
(727) 393-8855
(727) 391-0395

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14585
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
192257120
GENERAL DENTISTRY
FL
Enumeration date
09/11/2008
Last updated
06/11/2018
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