Lawrence G Johanson Dds, Inc.
NPI #1598931974 in Mckinleyville, California
Provider Information
- NPI Number
- 1598931974
- Entity Type
- Organization
- Organization Name
- Lawrence G Johanson Dds, Inc.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 5, 2008
- Last Updated
- May 5, 2008
Practice Location
- Address
- 1661 PICKETT RD
- City
- Mckinleyville
- State
- California
- ZIP Code
- 95519-3914
- Phone
- (707) 839-3227
Authorized Official
- Name
- DR. LAWRENCE GUNNAR JOHANSON, DDS
- Title
- CEO
- Phone
- (707) 839-3227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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