NPI | 1194061564 |
---|---|
Doing Business As | JOHNSON AND JOHNSON FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | RYAN D JOHNSON Dentist 217-787-7744 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019028015) |
Enumeration Date | 2012-12-12 |
Last Update Date | 2012-12-12 |