Individual
DR. JARED LAND JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
159 DELAWARE ST, WOODBURY, NJ 08096-5914
(856) 848-8400
Mailing address
625 WESTMONT LN, VINELAND, NJ 08360-2230
(856) 692-3847
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NJ
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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