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1558543066
LAURIS WALLACE JOHNSON
ATLANTA, GA
NPI
1558543066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: FL DN16876)
Enumeration Date
2007-11-27
Last Update Date
2012-04-03
Business Address
Dr. LAURIS WALLACE JOHNSON DMD
3621 VININGS SLOPE SE 3309
ATLANTA, GA 30339-4107
Phone number: 770-235-7618
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Mailing Address
Dr. LAURIS WALLACE JOHNSON DMD
3621 VININGS SLOPE SE 3309
ATLANTA, GA 30339-4107
Phone number: 770-235-7618
Copy
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