| NPI | 1265267355 |
|---|---|
| Doing Business As | JOHNSON PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DUSTI FARR Office Manager 435-215-9540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2024-10-16 |