| NPI | 1053573725 |
|---|---|
| Former Legal Business Name | JOHNSON DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | HAMILTON M BROWN Partner 662-843-8353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 2826-94) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2022-11-23 |