Individual
JERRIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3000 VAN FLEET CIR APT 207, SANATOGA, PA 19464-3339
(215) 391-6749
Mailing address
3000 VAN FLEET CIR APT 207, SANATOGA, PA 19464-3339
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042775
PA
Other
Enumeration date
07/23/2020
Last updated
06/28/2025
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