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1265456164
JEFF WAYNE JOHNSON
REIDSVILLE, NC
NPI
1265456164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 4497)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
Dr. JEFF WAYNE JOHNSON DDS
1212 FREEWAY DR
REIDSVILLE, NC 27320-7170
Phone number: 336-342-0102
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Mailing Address
Dr. JEFF WAYNE JOHNSON DDS
1212 FREEWAY DR
REIDSVILLE, NC 27320-7170
Phone number: 336-342-0102
Copy
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