| NPI | 1477621159 |
|---|---|
| Former Legal Business Name | BRUCE M JOHNSTON DDS PA & W CODY WALTERS DDS PA A DENTAL PARTNERSHIP |
| Entity Type | Organization |
| Authorized Contact | TONI MYERS Office Manager 620-225-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 60130) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |