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Heather Johnson, D.D.S.

Dentist in Rock Hill, SC. Individual provider (NPI-1).

NPI number1295090751
StatusActive
Last updated in NPPESJul 11, 2012

Details

NPI
1295090751
Entity type
Individual (NPI-1)
Name
Heather Johnson
Credential
D.D.S.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 11, 2012
Last updated
Jul 11, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist8106SCYes

Practice location

1144 India Hook Rd
Rock Hill, SC 29732-2783

Phone 865-809-8688

Mailing address

1144 India Hook Rd
Rock Hill, SC 29732-2783

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