KENNETH WAYNE JOHNSON

TUPELO, MS
NPI1497836704
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: MS  pedo29796)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
Dr. KENNETH WAYNE JOHNSON D.D.S.
704 HILLCREST
TUPELO, MS 38804
Phone number: 662-840-8540
Mailing Address
Dr. KENNETH WAYNE JOHNSON D.D.S.
1407 MITTS DR
TUPELO, MS 38801-2215
Phone number: 662-840-8540
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