| NPI | 1073124103 |
|---|---|
| Doing Business As | JOHNSON FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | STACIA GRZIBOWSKI Office Manager 269-381-7250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |