| NPI | 1477320802 |
|---|---|
| Former Legal Business Name | LAREEJOHNSON, DDS. MS, PLLC |
| Doing Business As | CAROLINA PEDIATRIC DENTISTRY |
| Former Legal Business Name | JOHNSON & MORRIS PLLC |
| Entity Type | Organization |
| Authorized Contact | AMENA HOLLEY Credentialing Specialist 248-550-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |