| NPI | 1245830736 |
|---|---|
| Other Name | RYAN ANDREW JOHNSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA DDS105999) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2024-09-12 |