KEVIN B. JOHNSON, DDS

SANDPOINT, ID
NPI1568516714
Entity TypeOrganization
Authorized ContactKEVIN BRADLEY JOHNSON
Dentist Owner
208-263-7641
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D3287)
Enumeration Date2007-01-23
Last Update Date2008-06-25
Business Address
KEVIN B. JOHNSON, DDS
1310 PONDEROSA DRIVE
SANDPOINT, ID 83864
Phone number: 208-263-7641
Mailing Address
KEVIN B. JOHNSON, DDS
1310 PONDEROSA DR STE A
SANDPOINT, ID 83864-5073
Phone number: 208-263-7641