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ALFRED CASBURN JOHNSON DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1215077433

Individual Registrant:
 ALFRED CASBURN JOHNSON DDS
Gender: M
Sole Proprietor

Location and contact information for practice:
1306 OLD FAIRHOPE CT  YORK, SC 29745 US
Tel: 803-628-1142  Fax: 803-628-5115

Contact information for business:
PO BOX 195  YORK, SC 29745-0195 US
Tel: 803-628-1142  Fax: 803-628-5115

Registration Information:
NPI: 1215077433
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
SC3219

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS SC - Page 1

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