| NPI | 1346903499 |
|---|---|
| Doing Business As | JOHNSON ELITE SMILES |
| Entity Type | Organization |
| Authorized Contact | JOHN ALBERT JOHNSON President 979-774-7500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2021-10-15 |