NPI | 1992935449 |
---|---|
Former Name | APRIL JOY JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401412080) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 14547) |
Enumeration Date | 2009-07-18 |
Last Update Date | 2013-08-13 |