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1316579279
SHANNON P JOHNSON DMD PLLC
LOUISVILLE, KY
NPI
1316579279
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Entity Type
Organization
Authorized Contact
SHANNON POLLY JOHNSON
President
502-957-9390
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2020-02-09
Last Update Date
2022-02-08
Business Address
SHANNON P JOHNSON DMD PLLC
9510 ORMSBY STATION RD STE 203
LOUISVILLE, KY 40223-4083
Phone number: 502-805-0500
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Mailing Address
SHANNON P JOHNSON DMD PLLC
2913 CREEKSIDE DR
LOUISVILLE, KY 40241-2106
Phone number: 502-957-9390
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