Malrie E. Johnson Dds. Pa. | |
603 Ayersville Rd. Mayodan NC 27027 | |
(336) 427-8544 | |
Not Available |
Full Name | Malrie E. Johnson Dds. Pa. |
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Speciality | Clinic/center - Dental |
Location | 603 Ayersville Rd., Mayodan, North Carolina |
Authorized Official Name and Position | Malrie Emmitt Johnson (PRES/CEO) |
Authorized Official Contact | 3364278544 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Malrie E. Johnson Dds. Pa. 603 Ayersville Rd. Mayodan NC 27027 Ph: (336) 427-8544 | Malrie E. Johnson Dds. Pa. 603 Ayersville Rd. Mayodan NC 27027 Ph: (336) 427-8544 |
NPI Number | 1033388152 |
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Provider Enumeration Date | 02/22/2008 |
Last Update Date | 02/22/2008 |
Identifier | Type | State | Issuer |
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1033388152 | NPI | - | NPPES |
8994643 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 5024 (North Carolina) | Primary |