Johnson, Lauris Wallace
Johnson, Lauris Wallace is an individual health care provider with primary practice located at 3621 Vinings Slope Se 3309, Atlanta GA 30339-4107. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Johnson, Lauris Wallace can be contacted via phone (770) 235-7618.Contact Information
Primary practice address
3621 Vinings Slope Se 3309
Atlanta GA 30339-4107
Phone: (770) 235-7618
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN16876 | Florida |
Profile Details
| NPI number | 1558543066 |
|---|---|
| LBN Legal business name | Johnson, Lauris Wallace |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2007 |
| Last updated | Apr 3rd, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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