Delaine Tabor Johnson

NPI #1699225524 in Ft Gordon, Georgia

Provider Information

NPI Number
1699225524
Entity Type
Individual
Name
Delaine Tabor Johnson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dental Assistant
Enumeration Date
Oct 4, 2016
Last Updated
Oct 4, 2016

Practice Location

Address
BLDG 38801 ACADEMIC DR, SUITE B & C
Address 2
USA DENTAC
State
Georgia
ZIP Code
30905-5660
Phone
(706) 787-6927

Specialties & Taxonomy Codes

Specialty
Dental Assistant

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