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Individual

DR. LAERROL TERRELL JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
14626 BELLAIRE BLVD, HOUSTON, TX 77083
(281) 491-4545
(281) 491-7134
Mailing address
14626 BELLAIRE BLVD, HOUSTON, TX 77083
(281) 491-4545
(281) 491-7134

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30279
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3376857
TX
Enumeration date
02/15/2008
Last updated
09/01/2023
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