Individual
LAUTEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1015 BROCKS GAP PKWY, HOOVER, AL 35244-4032
(205) 982-0112
(205) 982-0737
Mailing address
1015 BROCKS GAP PKWY, HOOVER, AL 35244-4032
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5474
AL
Other
Enumeration date
04/24/2008
Last updated
04/23/2024
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