NEAL JOHNSON

RUPERT, ID
NPI1144230566
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D3903)
Enumeration Date2006-08-08
Last Update Date2007-07-08
Business Address
-- NEAL JOHNSON D.M.D.
115 W 100 S
RUPERT, ID 83350-9125
Phone number: 208-436-4532
Mailing Address
-- NEAL JOHNSON D.M.D.
115 W 100 S
RUPERT, ID 83350-9125
Phone number: 208-436-4532