| NPI | 1477002897 |
|---|---|
| Professional Name | SAMANTHA LEE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 9805) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 9805) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2025-05-13 |