NPI | 1578771408 |
---|---|
Doing Business As | JOHNSON DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOHN ALBERT JOHNSON President 979-774-7500 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 21064) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2020-08-22 |